John W Hall Email & Phone Number

Greater Chicago Area

Greater Chicago Area

Manage administrative support operations for national client teams in the creation and delivery of RFP/Renewals for ancillary benefits, Network Access and Provider Disruption, and Compliance reporting. Oversight of 30 offshore and onshore colleagues providing support for department generating over 2000 RFPs annually.Oversee initial start-up and on-going operations for department supporting all RFP/Renewals for ancillary benefits products including Medical, Life/DI, Dental/Vision, Stop… Show more Manage administrative support operations for national client teams in the creation and delivery of RFP/Renewals for ancillary benefits, Network Access and Provider Disruption, and Compliance reporting. Oversight of 30 offshore and onshore colleagues providing support for department generating over 2000 RFPs annually.Oversee initial start-up and on-going operations for department supporting all RFP/Renewals for ancillary benefits products including Medical, Life/DI, Dental/Vision, Stop Loss, Elective Benefits and FSA/Cobra.Coordinate supporting functions including Offshore, Onshore and vendor resources through initial intake process, RFP plan build and creation, all correspondence and management of data required for reporting.Manage teams on incoming projects, creating efficient workflows, turnaround times and data for internal and external reporting. Built multiple dashboards to provide overview of team results versus targets.Manage annual All Team Meeting in Chicago for over 125 colleagues, Quarterly All team calls and Mentoring Circle calls.Managed the annual invoicing ($26m) of partner vendors, and the annual compliance verification process. Show less

Greater Chicago Area

Responsibilities included monitoring and managing vendor relationships in administrative support of individual and group LTC insurance, covering over 500K lives. Managed multiple vendor's performance metrics against service level agreements. Managed staff of 8 direct reports providing subject matter expertise and support to vendor partners and corporate departments.Developed and implemented new service level agreements with vendor partner leading to an additional $100K reduction in… Show more Responsibilities included monitoring and managing vendor relationships in administrative support of individual and group LTC insurance, covering over 500K lives. Managed multiple vendor's performance metrics against service level agreements. Managed staff of 8 direct reports providing subject matter expertise and support to vendor partners and corporate departments.Developed and implemented new service level agreements with vendor partner leading to an additional $100K reduction in administrative fees annually.Identified claim leakage payments of over $8M through contracting with overpayment recovery vendor.Identified unreported vendor exception errors of over $2M annually.Developed and defined key metrics to measure productivity, quality and effectiveness of business partner. Show less

Managed Customer Service/Claims/Employer Services/Broker Services, Eligibility & Enrollment, Premium Billing & Collections and Vendor Management Operations for International Health Insurance and Wellness company. Specialized in Consumer Directed Health Plans, HSA's and HRA's and The Vitality Wellness program.Successfully managed run-out of claims and transition of business to acquiring company, minimizing service interruption and service levels.Renegotiated multiple vendor contacts… Show more Managed Customer Service/Claims/Employer Services/Broker Services, Eligibility & Enrollment, Premium Billing & Collections and Vendor Management Operations for International Health Insurance and Wellness company. Specialized in Consumer Directed Health Plans, HSA's and HRA's and The Vitality Wellness program.Successfully managed run-out of claims and transition of business to acquiring company, minimizing service interruption and service levels.Renegotiated multiple vendor contacts including, claims clearinghouse, overpayment recovery, office equipment, and print vendors, saving organization over $2.5M annually. Show less

Responsible for managing 3 regional field office operations, including claims and supporting departments for Individual, Small Group and Specialized insurance products. Managed staff of 6 direct reports and over 250 employees.Achieved service level improvements in claim turnaround time and process workflows resulting in improved productivity and employee morale.Implemented Work At Home program, successfully transitioning 10% of claims staff to work from home, increasing productivity.

Responsible for managing group health claims, member services, provider services, enrollment, appeals and COBRA operations for Corporate and FEHBA plans. Managed staff of 12 direct reports across 10 field office locations, with over 1200 employees. Managed budget in excess of $36M.Achieved service level improvements for 4 straight years in all measurable service metrics, across all offices and departments.Led field offices SAS 70 audit initiative resulting in successful audit… Show more Responsible for managing group health claims, member services, provider services, enrollment, appeals and COBRA operations for Corporate and FEHBA plans. Managed staff of 12 direct reports across 10 field office locations, with over 1200 employees. Managed budget in excess of $36M.Achieved service level improvements for 4 straight years in all measurable service metrics, across all offices and departments.Led field offices SAS 70 audit initiative resulting in successful audit results for 3 straight years.Consistently met or exceeded all service level Performance Guarantees for 4 straight years, saving organization over $4 M in potential payouts.Consistently reduced operating expenses by 5-7% annually through productivity improvements and fiscally responsible actions.Saved organization over $2 M annually by consolidating 24/7 Call Center operation into one centralized location.Re-engineered field office operations by consolidating and reorganizing all operating units, resulting in improved productivity and quality of services.Successfully implemented nationally, virtual call routing and workload balancing processes and techniques to maximize service levels and insuring quality.Successfully developed management team to perform at highest levels of efficiency and productivity, utilizing all human and technological resources.Improved service delivery model by incorporating "soft skills" training initiative into Member Services Call Centers, resulting in certification of Member Service Representatives. Show less

Responsible for managing claims administration, customer service and small group underwriting services for 3 strategic lines of business: small group, individual and association business. Managed a staff of 10 direct reports with over 200 employees.Successfully managed transition and consolidation of Unicare's claims administration and customer service to one centralized office.Led combined departments to greater efficiency and timeliness of claims payment.Recognized change… Show more Responsible for managing claims administration, customer service and small group underwriting services for 3 strategic lines of business: small group, individual and association business. Managed a staff of 10 direct reports with over 200 employees.Successfully managed transition and consolidation of Unicare's claims administration and customer service to one centralized office.Led combined departments to greater efficiency and timeliness of claims payment.Recognized change agent self directed to improve productivity, efficiencies, cost reduction and improving employee work environment. Show less

Responsible for growth and maintenance of group health and worker's compensation provider network, consisting of 1400 hospitals and over 70,000 physicians across 24 states. Directly managed Claims Repricing, Customer Service, Provider Relations and Network Development Operations. Managed a professional staff of 4 Regional Executive Directors and a Director of Claims Operations, with over 200 employees.Successfully managed the dynamic growth of provider networks from 7 to 24 states… Show more Responsible for growth and maintenance of group health and worker's compensation provider network, consisting of 1400 hospitals and over 70,000 physicians across 24 states. Directly managed Claims Repricing, Customer Service, Provider Relations and Network Development Operations. Managed a professional staff of 4 Regional Executive Directors and a Director of Claims Operations, with over 200 employees.Successfully managed the dynamic growth of provider networks from 7 to 24 states within 4 years.Reduced claim pricing turnaround time standard from 7 days to 1 day by implementing scanning/ocr technology and best practices workflows.Negotiated national cost saving vendor contracts, including utilization management services, ancillary providers and directory printer.Integrated all operations of 3 PPO network acquisitions into parent organization, while successfully maintaining client base. Show less

Responsible for all claims and customer service activities for EPO, PPO and Worker's Compensation programs for 17 partner insurance companies.Successfully started-up service center operations in Chicago location, including all hiring, system set up and training.Transitioned service center operations from Dallas and Waltham locations into the Chicago office.Implemented EPO program in Chicago market, growing membership to over 50,000 members in 3 years.

Managed the call center for the Utilization Management and Case Management departments. Prior to this position, I was a Claim Supervisor over small group health claims at Travelers.

Master Of Science - Ms, Organization Development

Bachelor Of Arts (B.A.), Political Science And Government

Activities and Societies: Phi Sigma Kappa fraternity: Vice President, Homecoming Chairman.