POLICY AND PROCEDURES CONSULTANT for
Prudential Health Care of California, Inc. (now AEtna)
5800 Canoga Avenue
Woodland Hills, California
Prudential Health Care of California was a money loosing division of Prudential that was up for sale. Unknown to me at the time, if certain financial objectives were met by July, 1995, Aetna would purchased the business. This was not possible and the staff was reduced in an attempt to met objectives.
- Documented financial procedures associated with unique California financial arrangement "Flexible Funding" writing sample 1.
- Evaluated the performance of the group health underwriting department for reporting to headquarters writing sample 2.
- Developed a guidline for identifying multiple employer welfare policies; Essay:How to Eyeball a MEWA Case
- Develop and draft performance standards to implement national corporate objctives Quality of Underwriter's File.
- Teach classes to the underwriters to upgrade their professional skillsExceptional Medical Claims
- Developed field underwriting quality review implementation procedures.
- Advise/consult with staff and management regarding legal standards and regulatory compliance.
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