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25 Leaders from National Plans, Regional Plans & the Blues
on Best Practices to Reduce Cycle Time
Keynote Presentation |
Inspire Your Staff
Be #1 in Customer Service
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Elizabeth Conklyn
Executive VP, People Services
USAA
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- BusinessWeek ranks USAA #1 in a list of “Customer Service Champs,” 2007, 2008
- Forrester Research gives USAA top scores for customer service on the Internet
- USAA receives scores 15% above the industry average for customer service on the phone
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Completely Redesigned Program
Features New Strategic Sessions
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Decrease Costs with a Claim Command Center
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Cynthia Troxler
Vice President of Claims
Blue Cross Blue Shield of North Carolina |
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Today & Tomorrow: Claims Management in CDHPs
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Janna Meek
Director of Integrated Provider Solutions & Provider Network Operations
Humana |
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| CORE: Transform Claims Management with Interoperability |
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Jay Eisenstock
Manager, Provider eSolutions
Aetna |
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Gwendolyn Lohse
Managing Director, CORE
CAQH
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| 20% Increase in Productivity with Six Sigma Lean Tools |
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Annette Jones
Claims Manager
Blue Cross Blue Shield of Michigan |
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Sandra Kempton
Team Leader
Blue Cross Blue Shield of Michigan
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Achieve Auto-Adjudication by Leveraging Provider Scorecards
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Mary Beth Jenkins
Chief Operating Officer
UPMC Health Plan |
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Examine A Cost-Benefit Analysis of the Migration to ICD-10 Codes
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Kerry Johnson, MAEd, CHIM
Academic Associate, Faculty of Health Sciences
University of Ontario Institute of Technology |
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Operational Solutions
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Maximize Productivity with Employee Centricity
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Tom Everett
Director of Claims Service Center
ConnectiCare |
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Manage Fallout from the NPI Conversion
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Jean-Marie S. Warner, CHCO, CPC, CPC-H
Director of Claims and Information Systems
University Physicians Health Plan |
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Prepare for Regulatory Changes in 2009
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Marilyn A. Monahan, Esq.
Counsel
Emmer & Graeber |
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Minimize Costs with Off-Site Claims Centers
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LeAnn Olsen
Director of Claims
Community Health Network of Connecticut |
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Innovational Solutions
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Migrate to Real-Time Claims Adjudication
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Ken Willman
Director of Provider Interface
Humana |
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Prevent Fraud & Abuse with System Controls
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Kathy Piccioni, AHFI, CFE
Special Investigations Unit
Highmark |
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Develop Profitable Outsourcing Strategies
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Darnell Dent
Chief Executive Officer
Community Health Plan |
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Design a Claims Operation that
Balances People, Processes and Technology
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Linda Shoenfelt
Senior Vice President of Claims Operations
HealthMarkets |
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Interoperability • Communication Gaps • Clean Claims
Cost-Saving Opportunities • First Pass Adjudication
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Keith Aubrey
Director of Integrated Provider Solutions
HUMANA
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Rob Galan
Director of Claims & Customer Relations
TUFTS HEALTH PLAN
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Annette Geroy
Director of Claims Operations
BLUE CROSS BLUE SHIELD OF MINNESOTA
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Ayanna Hart
Subscriber Services Division Director
HEALTH CARE SERVICES CORPORATION
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Shirlese Hayes
Director of Claims Operations
HILL PHYSICIANS MEDICAL GROUP
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Jay Eisenstock
Manager, Provider eSolutions
Aetna |
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- Contain Costs and Minimize Overpayments with Procedures to Improve the Coordination of Benefits
- Optimizing Financial Results – Strategies to Minimize Overpayments and Recover Overpaid Claims
The conference delivers high quality content together with networking activities for the exchange of ideas and best practices. Networking activities
take place during morning coffee and lunch, as well as during key breaks throughout the agenda. We want you to leave this conference with an action list to optimize your claims administration. We offer both group rates and other discounts. For questions about the program, please email
Katie.Diperna@worldrg.com.
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