Claims Management Essentials: Cost-Saving Strategies for Employees and Employers
Online
2.00 Credits
Member Price $89.00
Non-Member Price $119.00
Overview
Understand and master the various methods of medical claim reimbursements. This foundation is critical to understand health plan networks and how they function as the baseline for cost in fully insured and self-funded plans. This unit will expand on the previous unit's analysis of point solutions and how to build those into your plan design not only for the benefit if rate structures, but employees as well. The instructor will show you how to structure your medical plans to save the plan money by incentivizing the member through cost reduction programs.
Objectives
- Medical Claim Reimbursement Continuum
- Reference Based Pricing
- Plan Design 101
- Learning to market your risk
- Point Solutions and how to use them
- Risk Management
Highlights
- Medical Claims
Designed For
HR and Finance professionals
Prerequisites
None
Preparation
None
Notice
Your webinar can be accessed via https://ctcpas.acpen.com/. If you do not have an ACPEN account, please sign up for an account using the email address you have on file with CTCPA.
Leader(s):
Leader Bios
William Minick, MBA, GBA, QEBS, Summit Financial Group
William Kyle Minick, MBA, GBA, QEBS
Kyle Minick, MBA has a diverse work experience spanning over several years. Kyle is currently working as the Vice President of Employee Benefits at Summit Financial Group, Inc. Kyle is responsible for leading employee benefits initiatives and focusing on diversity, equity, inclusion, and belonging. Kyle is also a thought leader, public speaker, and healthcare advocate, where they speak to organizations about the importance of healthcare coverage.
Prior to their current role, Kyle worked at Arthur J. Gallagher & Co. as an Associate Benefits Producer, Account Manager, and Benefits Support Specialist. During their time there, they gained valuable experience in sales and problem-solving, specifically in the benefits industry. This experience prompted him to pursue an MBA with a focus on Healthcare Administration.
Before joining Gallagher & Co., Kyle worked as an Executive Recruiter and IT Talent Specialist at Modis. Kyle developed a strong skill set in cold-calling and sales, but ultimately decided to return to Dallas to pursue their MBA.
Additionally, Kyle has experience as a Sales and Marketing Specialist at Checkers Industrial Safety Products, where they gained an understanding of compliance and safety concerns in various industries.
Lastly, Kyle’s early work experience includes being an Eagle Scout at the Boy Scouts of America, where they developed a mindset that they apply in their professional and personal life.
Overall, Kyle Minick, MBA has a broad range of experiences in the employee benefits industry, sales, recruiting, and advocacy.
Kyle Minick earned their Master of Business Administration (MBA) with a focus in Health Care Administration from Abilene Christian University. Kyle attended the university from 2017 to 2019. Prior to that, they completed their Bachelor of Science in Business Administration and Marketing at Colorado State University, where they studied from 2008 to 2013.
In addition to their degrees, Kyle has obtained several certifications. In 2022, they earned the Group Benefits Associate (GBA) 1 certification from the International Foundation of Employee Benefit Plans (IFEBP). In 2020, they obtained the General Lines Agent - Property and Casualty certification from the Texas Department of Insurance. In 2016, they obtained the General Lines Agent - Life, Accident, Health, and HMO certification from the same institution. Furthermore, in 2007, they completed the Cursos de Lenguas - Spanish B1.2 program at Universidad de Salamanca.
Non-Member Price $119.00
Member Price $89.00