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.

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.

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.

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.

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.

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.

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.

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.

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.