Jessica Beard Email and Phone Number

•Monitors and reports out on market and competitor activity•Manages Ad hoc research function•Assists in development of enterprise –wide market intelligence tool•Creates standard output templates for the Market Intelligence department

• Responsible for continued enhancement of claim process management through the improvement and completion of government healthcare program regulatory requirements• Accountable for all high dollar claims ( reports $100,000 and up)• Research, analyze, and resolve key issues with providers’ claim activities through project driven assignments• Identify process gaps and trends, configuration and processing errors and provide recommendations and solutions to senior management • Oversee all claims have been processed within tight timelines and ensure all department, contract, and regulatory requirements have been upheld• Respond to and resolve provider and health plan claim inquiries• Received several Employee Recognition Program awards & ERP “On The Spot Award”

• Reviewed, evaluated and adjudicated medical and hospital claims based on provider and health plan contractual agreements and claims processing guidelines• Served as a key liaison for health plan providers and was responsible for all communication and correspondence regarding benefit eligibility• Performed various complex tasks specific to ECRP including member visits to out of state hospitals and physicians • Completed special projects associated with Children’s Hospital of Philadelphia notably providing newborns with plan eligibility• Received several Employee Recognition Program awards & ERP “On The Spot Awards”• Served as a Member of the Service Operations Advisory Council, 2010-2011

• Manage office operations including event scheduling and logistics and hospitality services• Facilitate client focus group sessions associated with new product introduction• Interact with clients to identify their needs and completed client requests