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The vendor will provide third-party administrator services for conflict claims, including comprehensive claims administration and the managed care, computer hardware, and office supplies necessary to support program operations. The administrator will deliver defined administrative, operational, and compliance-related services on behalf of the conflict claims program.
Program administration will include the day-to-day management of the benefits or claims program, including claims processing, tracking, and documentation. Claims services will cover intake, adjudication, validation, payment coordination, and appeals handling.
Additional responsibilities will include customer service and participant support through call center operations, email assistance, issue resolution, and participant education. The administrator will also manage payment processing and financial reconciliation, as well as secure recordkeeping and data management, including updates, reconciliation, and reporting of participant and plan data.
Analysis generated by Settle AI from the source RFP.
Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.