Specifications include, but are not limited to: •Review of SPDs, SBC’s, contracts, policies to ensure consistency with plan provisions including covered benefit plans as outlined in contract •Ensure that all contracts, plan documents and summary plan descriptions are produced and executed in a timely manner. Review and advise the WCPS as to whether the contract meets the terms negotiated. •Coordination of reimbursement with stop-loss vendors including work with appropriate vendors to set up ongoing file feed or electronic reporting exchanges, if available. •Assist with escalated claims issues. Act as a liaison between WCPS, its individual employees and the insurance providers in resolving problems with an emphasis on seeking long-term solutions •Support to resolve plan provisions, claims, eligibility and billing issues with vendors. •Address provider network issues/questions. •Report on negotiated performance metrics, if applicable.