Workers' Compensation Claims Administration
City of Modesto > Purchasing Division
Original Solicitation Links
Contact
Submission Instructions
Description
The City of Modesto seeks a third-party administrator for its self-insured workers' compensation program. The scope includes administration of existing and new claims; claims adjusting, payment of benefits, reserve management, litigation and investigation coordination, subrogation, and return-to-work support. The administrator must provide a dedicated claims team, online claims-system access, reporting, training, and coordination with the City's ancillary service providers. The work also includes medical administration, utilization review coordination, bill review, nurse case management coordination, and compliance with California workers' compensation requirements and the referenced PRISM claims standards. Proposers must hold a California Department of Industrial Relations Self-Insurance Plans license and demonstrate relevant public-agency experience. The agreement is for two years, with three optional one-year extensions. Pricing is requested for annual administration fees and specified ancillary services.
Classification Codes
Smart Codes
Specifications
Timeline
Join TeamsRequirements
- Commercial General Liability — $1,000,000.00
- Automobile Liability — $1,000,000.00
- Workers' Compensation
- Employer's Liability — $1,000,000.00
- Professional Liability (Errors and Omissions) — $2,000,000.00
- Minimum 5 references
- Client point of contact required for each reference
Documents
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