Representative Insurance Consulting Assignments
Health Care Assignments
Major Mid-West Blue Cross Blue Shield
Evaluated performance problems with an IBM mainframe running a membership and billing
application. Recommended changes that resulted in 100 percent improvement in overnight
batch processing throughput.
Analyzed the work load on multiple mainframes and developed a plan for
moving all work from one machine onto another with minimal cost and time. The client
realized a savings of $300,000 to $500,000 per year.
Evaluated on-line claims processing systems to replace an aging and
inflexible, internally developed system. Developed the implementation plan for
installation, modification and testing of the selected package.
Major New England Health Care Organization:
Evaluated performance problems on the organization's claims processing system. Conducted a
search for a replacement hardware, providing more capacity and reliability. Designed and
conducted benchmark tests to verify acceptable capacity and performance. Our
recommendations resulted in the acquisition of over $5MM of hardware.
Developed an executive information system to analyze claims history
data. The system featured graphical representations of all data and the ability to view
data at any level in the database. The system uses Microsoft Windows and Excel linked to a
Major Financial Institution:
Evaluated the technical merits of a health care software vendor, being
considered for acquisition by the client. Reviewed staff technical expertise, the quality
of the coding and documentation, and reliability and performance characteristics of
hardware and operating system. Recommendations resulted in acquisition of the company.
Developed, installed and maintained office automation system that
handles patient visit accounting, including HCFA claims generation,
billing statements, and accounts receivables.
JTM Representative Assignments Overview