Third-Party Administrator (TPA) Services for Claims & Enrollment

This contract involves subcontracting a Third-Party Administrator (TPA) to oversee critical functions including enrollment management, claims adjudication, provider payments, and handling customer inquiries on behalf of the primary insurer. The role requires the TPA to effectively manage these administrative processes to ensure smooth operation and service delivery for the insured parties. The contract is associated with the Department of State, specifically linked to the US Embassy in Abuja, with the services to be performed in Abuja. Issued on June 1, 2026, with a response deadline of July 15, 2026, this subcontract falls under NAICS code 561400, which pertains to business support services. The solicitation does not specify a type of set-aside or particular organization type, indicating an open competition for qualified providers. The contractor selected will play a vital role in supporting the embassy’s health insurance operations through efficient and accurate claims processing, enrollment administration, and payment coordination, thereby facilitating quality customer service for beneficiaries.