Workers' Compensation Claims Management Program

The City of Modesto is seeking a qualified third-party administrator to manage its self-insured workers’ compensation claims, currently overseen by York Risk Services. The selected provider will handle claims administration for approximately 1,300 employees, including safety personnel in the Police and Fire Departments who receive salary continuation benefits under Labor Code §4850. The city’s workforce is covered by CalPERS, with a total payroll of around $72 million for the 2014/15 fiscal year, and maintains a self-insured retention of $500,000 per incident. The city is also a member of the CSAC-EIA, which provides excess insurance coverage for workers’ compensation claims. The TPA will be responsible for managing all existing claims and collaborating with ancillary service providers at no additional cost to the city. The contract, titled "Workers' Compensation Claims Management Program," was posted in February 2016 with a response deadline in March 2016. It is a solicitation issued by the City of Modesto, located in California, with the NAICS code 541214 indicating professional and technical services related to claims management. The primary point of contact for the solicitation is Ken Masasso, who can be reached via email or phone. The scope emphasizes comprehensive claims administration services tailored to the city’s specific needs, ensuring efficient handling of workers’ compensation claims in compliance with legal and policy requirements.