Chicago Public Schools Bonfire #26-1354

Chicago Public Schools Seeks Comprehensive Benefits Plan Audit Services

Chicago Public Schools (CPS) is seeking a qualified firm to conduct a comprehensive audit of its benefits plan administration. - Government Buyer: - Chicago Public Schools (CPS) Procurement Department - Scope of Services: - Medical Claims Audit: Statistical estimation of claims accuracy for all vendors managing CPS accounts - Operations Review: Evaluation of benefit plan administration processes - Appeals Audit: Assessment of appeals handling related to benefit claims - Customer Service Audit: Review of customer service performance in benefits administration - Notable Requirements: - Submission of compliance documents, including insurance coverage and M/WBE (Minority/Women Business Enterprise) participation forms - Emphasis on detailed insurance and adherence to M/WBE goals - No specific OEMs or vendors are named in the solicitation - Open to competitive proposals to ensure integrity and performance of CPS's benefits administration

Description

This project involves evaluating CPS benefit plan administration performance through a comprehensive audit. The scope includes a medical claim audit, an operations review, an appeals audit, and a customer service audit. The primary objective is to statistically estimate the accuracy of claims processed by all vendors related to CPS accounts. The solicitation is open for submissions until May 27th, 2026, with questions due by May 19th, 2026.

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