Expert Profile
I have over 20 years experience managing health insurance claims, resolving payment disputes, and creating and managing cost containment programs. I have reviewed over 500 managed care networks ***** ly including HMOs and ***** s. I have audited hundreds of self funded health plans, TPAs, HMOs, and MGUs. I have settled many disputed claims and have served as an arbitrator between insurance companies and health plans.
I have been involved with the reinsurance and managed care industries since 1987, holding executive positions within each. I have also managed various the claims departments for several direct insurance companies and a Third Party Administrator.