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<br /> Administrators Self-Funded Quote <br />mE <br />LIPMAN <br />COMPANY, INC. <br /> CLAIMS ADMINISTRATION DUTIES {Continued}: <br /> · Assist and be responsible for the filing of all forms required by state and federal laws <br /> with respect to the regulation of claims payment. <br /> · Design and implement a procedural manual to include administrative action and <br /> pertinent processing guidelines. <br /> · Process claims on a current basis with approximate turn-around time of two working <br /> days. <br /> BILLING AND ELIGIBILITY ADMINISTRATION DUTIES: <br /> TLC Administrators will... <br /> · Maintain an employer master file of eligible employees based on billing information <br /> provided by the client. <br /> · Prepare and mail a monthly pre-listed employer's report of contributions; showing <br /> the names, social security numbers and contribution rates of participants; reported <br /> by the client in the previous month. <br /> · Prepare monthly eligibility roster reflecting participant eligibility history for the prior <br /> month and indicating eligibility for each of the plan's benefit programs. <br /> · Receive and reconcile employer contribution reports with bank deposit records, <br /> verifying accuracy of the contribution reports and reporting discrepancies to the <br /> client. <br /> · Perform all administrative functions with prepaid providers (Kaiser, etc.) as required <br /> for the needs of the participants. <br /> · Compute insurance premiums in accordance with master contracts of insurance and <br /> eligibility rules. <br /> 5 <br /> ~ H· . or· <br />