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Unipres U.S.A. Employee Benefits Brokerage and Consulting Services RFP
n. Vendor Management – assisting with vendor management.
Implementation and Vendor Management
Whether entering into a renewal contract or switching to a new vendor, CBIZ will coordinate and manage the
implementation process and the ongoing vendor relationship. We will:
Schedule planning and implementation meetings with vendors as needed;
Coordinate eligibility data requirements and timing;
Order vendor benefit booklets and/or certificates, ID cards;
Review administrative forms and billing;
Request and review contracts, SPDs and other vendor materials
Provide ongoing employee support for claims, customer service, etc.;
Proactively identify issues before they become problems; and
Establish service level expectations and negotiate performance guarantees as appropriate.
CBIZ leverages our position in the marketplace to obtain the best value, prices and performance from all major
vendors. During the vendor selection process we will obtain meaningful vendor commitments, ensure that their
contracts accurately reflect their promises, and then manage the vendor performance on an ongoing basis. We
insist that a significant percentage of dollars at risk be based on your subjective evaluation of service, and that any
financial or clinical guarantees are aggressive and client-specific.
Plan Management
CBIZ provides ongoing plan management, monitoring Unipres’ cost and utilization trends on an ongoing basis that
identifies:
Enrollment and claims trend;
Percentage of claims paid on behalf of high claimants;
Inpatient utilization and cost, including the top five diagnostic categories; and
Pharmacy utilization and cost.
As part of our ongoing analysis, we will make recommendations on steps to control these costs. Plan management
also includes compliance guidance, renewal meetings and annual review.