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Item 37 - Renewal with Third Party Administrator for Claims Admin. Service
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08/17/2021 Regular
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Item 37 - Renewal with Third Party Administrator for Claims Admin. Service
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8/17/2023 4:14:51 PM
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Agenda Packet
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Clerk of the Council
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37
Date
8/17/2021
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Agreement with AdminSure for General Liability and Workers' Compensation Claims <br />September 4, 2018 <br />Page 2 <br />and assets is paramount in creating and maintaining a safe place to work, live and visit. In an effort <br />to reduce expenditures, the Department is implementing a forward -thinking and pro -active process <br />toward managing the City's ongoing exposure to risk. To facilitate this, the Department has <br />determined that utilizing a Third Party Administrator (TPA) for General Liability and Workers' <br />Compensation claims management will enable the Risk Management Division to pro -actively focus <br />on Safety and Hazard Mitigation, thus potentially reducing overall.. City claims and litigation <br />expenses. <br />Third Party Administrators have personnel with specialized skills and certifications required to <br />effectively and efficiently handle Workers' Compensation and Genera) Liability claims caseloads. <br />Specifically, they work with injured employees, general public/residents, medical providers, <br />contractors/vendors and attorneys to investigate, negotiate and settle claims. Additionally, the <br />selected Third Party Administrators have expertise working specifically in municipalities with police <br />departments. <br />The City will still be actively involved in any litigation and will have final authority on settlement <br />decisions, though the TPA which will be handling all day-to-day workers' compensation and general <br />liability claims. This service arrangement is not relinquishing City control over these processes but <br />allowing experts to focus solely on the service to our customers, cost effectiveness, timely <br />processing and closure of claims as well as expediency in providing the highest level of care to the <br />City's injured workers. This structure provides a transparent approach and quantifiable results. <br />Additionally, by using a Third Party Administrator to handle General Liability and Workers' <br />Compensation claims administration functions, the City will be able to manage customer <br />expectations and have objective oversight. <br />In response to the Request for Proposals, six vendors submitted proposals and one vendor <br />declined to bid. Following extensive evaluation of the proposals, the top three were invited to <br />participate in a panel interview process. The panel was comprised of one member highly <br />experienced in General Liability, one member highly experienced in Workers' Compensation, one <br />administrative member of the Santa Ana Police Department, and one municipal Risk Manager. <br />The vote of the panel was unanimous in selecting AdminSure, Inc. as the firm that would provide <br />the best overall service, claims management, and oversight to the City. <br />AdminSure, Inc. has an outstanding reputation for excellent customer service and fiscally efficient <br />oversight of claims for both Workers' Compensation and General Liability. Out of AdminSure's 76 <br />public sector clients, 66 have Police or Sherriff departments. Servicing these entities requires a <br />high level of expertise in the specific laws and issues surrounding safety employees. AdminSure <br />has brought excellent results to these programs. AdminSure's State of California Audit Scores <br />indicate 100% compliance with best practices/performance standards. AdminSure, Inc. also <br />provides detailed information regarding customer service delivery. AdminSure's services are <br />streamlined but very detail -oriented, thus providing the utmost attentlgn to claimants' needs in a <br />very cost-effective manner. <br />25D-2
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