The Orange County Transportation Authority (OCTA) requires third-party administration for its Self-Insured Workers’ Compensation Program. This includes handling claims administration, cost control, compliance with relevant laws, and providing necessary reports and consultation. The services shall align with industry standards and adapt to any statutory or regulatory changes. Additionally, this includes bundled services that integrate claims management, compliance monitoring, and cost-containment strategies to ensure a comprehensive and efficient approach to workers' compensation administration. • Self-Insured since: 2/1/77 • Excess Carrier: Safety National Casualty Corporation • Self-Insured Retention: $750,000 • Number of employees projected for 11/1/2025: 1,349 • Three (3)-year average claims data (FY 2022-2024): o New Claims: 159 o Claims Pending: 262 o Claims Cost: $4,753,803 o Outstanding Reserves: $8,923,551 1. General Requirements: A. The Third-Party Administrator (ADMINISTRATOR) shall manage and resolve Workers’ Compensation claims. ADMINISTRATOR shall represent OCTA in all matters related to the investigation, adjustment, processing, supervision and resolution of Workers’ Compensation claims against OCTA. B. The claims unit shall include: i. One (1) Executive claims staff person ii. One (1) Claims Manager iii. One (1) Account Manager iv. One (1) Claims Supervisor 1. A minimum of five (5) years California Workers’ Compensation claims experience preferably with a public agency and certification as a Self-Insured Administrator by the State of California Department of Industrial Relations Self-Insurance, preferably a public agency. 2. A minimum of two (2) years of supervisory experience. v. Two (2) Dedicated Claims Examiners 1. A minimum of four (4) years California Workers’ Compensation claims experience preferably with a public agency and certification as a Self-Insured Administrator by the State of California Department of Industrial Relations Self-Insurance, preferably a public agency. vi. One (1) Dedicated Claims Assistant C. Maintain a paperless claims environment. D. Destroy claim records by shredding or file deletion at no additional cost to OCTA...
