Reinsurance/Expert Profile

Expertise

I can answer any questions related to reinsurance in the field of healthcare.

Experience in the area

I have over 20 years experience managing reinsurance claims, resolving payment disputes, and creating and managing cost containment programs for reinsurers. I have reviewed over 500 managed care networks nationally including HMOs and PPOs. I have audited hundreds of self funded health plans, TPAs, HMOs, and MGUs. I have settled many claims and have served as an arbitrator between insurance companies and health plans.

Organizations

MBAA - Medical Bills Association of Advocates ACAP - Association of Claims Assistance Professionals Lakewood Ranch Business Group Local Chambers of Commerce

Publications

Business Insurance, Healthcare Business, Capitation Managemetn REport, Human Resource Executive, Advance for Occupational Therapy,

Education/Credentials

Certified Claims Assistance Professional Associate Life and Health Claims