DEPARTMENT: Office of Risk Management
DEPARTMENT HEAD: Debra M. Ojo, MPA, Director
COUNCIL DISTRICTS IMPACTED: City Wide
SUBJECT:
Claims Audit Services
SUMMARY:
This ordinance authorizes the City Manager or his designee to enter into a contract for claims audit services for the City of San Antonio with The Jenkins Agency, Inc. The term of this contract is three (3) years, beginning January 1, 2021 and ending December 31, 2023, with an option to extend the contract for up to two (2) one-year extensions, with total compensation not to exceed $137,500. The estimated FY 2021 expense is $20,625. Funding in the amount of $10,312.50 is available in the Workers' Compensation Self Insurance Fund FY 2021 Adopted Budget and funding in the amount of $10,312.50 is available in the Liability Self Insurance Fund FY 2021 Adopted Budget. Funding for subsequent years is contingent upon City Council approval.
BACKGROUND INFORMATION:
The City of San Antonio is primarily self insured for workers' compensation, general liability and automobile liability claims. Over the last five (5) fiscal years, the City has received an average of 1,219 workers' compensation claims and 351 general liability/automobile liability claims per year. The workers' compensation claims are processed and adjusted by a Third Party Administrator (TPA). On April 19, 2019, the City entered into a 1305 Workers' Compensation Healthcare Network for medical cost containment. The City's Office of Risk Management in-house Claims Division processes and adjusts the general liability and auto liability claims.
On September 15, 2020, the Finance Department, on behalf of the Office of Risk Management, issued a Request for Proposal (RFP) to solicit responses from qualified firms interested in providing claims audit services. The recommended Respondent will conduct an annual claims audit of the City's Third Party Administrator (TPA) workers' compensation and medical cost containment services and the Cit...
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