Third Party Claims Administrator Services
Overview
Fit Score
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SUMMARY
KEY REQUIREMENTS
CONTRACT DURATION
TIMELINE
RFP Advertised: May 15th, 2026
Deadline to Receive Written Inquiries: June 5th, 2026
Deadline to Answer Written Inquiries: June 16th, 2026
Proposal Opening Date: June 22nd, 2026
Oral Presentations (If Needed): July 27th, 2026
Anticipated Notice to Proceed: September 1st, 2026
Contract/Plan Year Effective Date: January 1st, 2027
QUESTION DEADLINE
Issuing Agency
City Of Baton Rouge-Parish Of East Baton Rouge
Organization overview and procurement intelligence available on paid plans.
DESCRIPTION
The issuing organization is seeking a vendor to provide third-party claims administrator services in Louisiana. The selected contractor will be expected to complete enrollment and eligibility activities prior to the contract effective date through electronic data transfer from current third-party administrators, and to begin full claims administration services on the effective date.
Scope of work includes claims processing and management functions such as coordination of benefits, subrogation, Medicare coordination, and resolution of disputed claims with providers. The contractor will also be expected to offer utilization review, large case management, wellness, and disease management programs, maintain and update master record files, and provide instructions for proper claim submission techniques.
Additional responsibilities include reporting the current percentage of claims submitted electronically, notifying claimants and service providers of payment decisions, making field claim consultants and professional resources available for complex claims evaluation, and delivering an annual financial accounting with case-specific reserve change details and expense commentary. Questions are due no later than June 5, 2026.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due June 22, 2026. Questions must be submitted by June 5, 2026.
- Who issued this RFP?
- It was issued by City Of Baton Rouge-Parish Of East Baton Rouge. The work is located in Baton Rouge, Louisiana, United States.
- Who is a good fit for this opportunity?
- Third-party administrator with health or benefits claims administration experience
- Proven capability in electronic eligibility and enrollment data transfers
- Expertise in claims processing, subrogation, Medicare coordination, and dispute resolution
- Capacity to provide utilization review, case management, wellness, and disease management services
- Strong financial reporting and claims reserve accounting capabilities
- Experience serving public sector or large self-insured organizations
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