Stop Loss Claims Administration and Reporting
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The contract entails the full lifecycle administration of stop loss claims, encompassing intake, adjudication, appeals handling, and seamless coordination with third-party administrators and pharmacy benefit managers. It requires end-to-end management of claim processes to ensure accuracy, compliance, and timely resolution, with a strong emphasis on secure data transmission throughout all operational phases. The contractor must deliver comprehensive monthly and quarterly reports to provide transparency and actionable insights into claims activity and financial exposure. The work scope is positioned as a subcontract under the Travis County Healthcare District in Texas, with a solicitation posted July 20, 2026, and a response deadline of August 19, 2026, under NAICS code 524126 for administrative services related to insurance.
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NAICS
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TX, USSet-Aside
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