Group Benefits Office Administrative Services

Location:

Baton Rouge, Louisiana, United States

Posted on:

Deadline:

Summary:

Seeks a partner to manage group benefits office administrative operations, including claims, communications, plan management, and compliance functions for a Baton Rouge governmental authority.

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The government authority located in Baton Rouge, Louisiana is seeking a vendor to provide comprehensive group benefits office administrative services. Key responsibilities include leading initial implementation, ongoing account management, plan participant communications, and network management. Vendors will also oversee product and plan design management, medical management programs, and all aspects of enrollment, including electronic data interchange (EDI) and data management.

Additional duties encompass claims processing and appeals management, claims audit, recovery and investigation, and ensuring an optimal customer experience. The scope also extends to compliance with the No Surprises Act and independent dispute resolution requirements. The contract period will be for one year, with all vendor questions due by March 31, 2026.

Best-fit vendors:

• Experience in administering group benefits for government or large organizations

• Expertise in claims processing, EDI, and benefits data management

• Demonstrated capability to handle compliance with the No Surprises Act

• Proven track record in plan participant communication and network management

• Licensed to provide services in Louisiana

BG

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BG

Submit your next proposal, within 48 hours or less

Stay ahead with the latest advancement in proposal automation.

BG

Submit your next proposal, within 48 hours or less

Stay ahead with the latest advancement in proposal automation.