Laura Jerome Email & Phone Number

Overland Park, Ks, Us

May 2009 ­ Present Strategic Planning and consultation with mid market (51-200) clients. Manage staff of four Account Managers. Assist producers with renewals and prospects. Develop and maintain relationships with clients and carriers. Develop RFP specifications including performance guarantees. Responsible for creation of and maintenance to policies and procedures, training manual and annual assessment form.Our mission at Power Group is to be "Your Benefits Concierge." We take pride in our ability to free our clients from the burden of administrating their employee benefits so that they can focus on their bottom line.

London, Gb

Director, Product Development & Implementation December 2008 ­ April 2009 Primary operations lead for start-up market in Arizona. Create and implement competitive products for group and individual- based products. Responsible for approval and sign-off of all Business Requirement Documents and System Change Documents pertaining to set up of new health plan. Develop and implement benefit plans for Coventry and external vendors. Directly involved with Legal and Compliance writing Certificate of Coverage, Individual Policy and Health. Active in all aspects of benefit plan pricing, working with Actuarial, Finance and Underwriting teams. Create DOI compliant application/enrollment forms for employers and employees. Coordinate with Health Services, QI, Customer Service, and Benefits Administration for successful implementation. Established disease management programs to be offered in market.

London, Gb

Manager, Product Development & Implementation February 2006 ­ December 2008 Primary lead on Product Development for Kansas, Missouri and Oklahoma plans including development of Schedules of Benefits, ID cards, member and employer materials. Managed successful 90 day conversion for mental health vendor, including benefit design, claims testing and accumulations, communications and marketing materials, interfaces. Participated in finalist presentations for large group sales. Successful implementation of ASO groups (43,000 members). Lead for health plan on development and implementation for individual market products. Health Plan lead for management of Benefit Express including System Requirements Documents. Coordinate with Underwriting and Actuary for installations in system rating tools . Leadership role in developing staff training for Coventry Consumer Choice (HRA/HAS/FSA) Products, including initial training on products for sales staff, marketing materials, and training for employers and brokers. Health Plan leader for ID card changes and implementations Adept in all functions of Coventry's IDX systems including claims, adjustments, benefit building, dictionaries, adjudication tables, rule banks, member, provider and group functions. Ensured project deadlines were met by defining scope, objectives, risks, critical success factors, work plans, test plans and test tracking tools Managed relationships at all levels of the organization with internal customers and outside resources or vendors. Committee member: Quality Improvement (QIC), Process Analysis (PAC), Medical Expense Review (MER), Medical Expense Management Plan (MEMP), Underwriting, Sales & Actuary (USA), Medicare Ops, KCW Ops, Oklahoma Ops, Essentials. Presenter, Coventry College.Coventry Superior Achievement Award recipient 2004, 2006

London, Gb

Initiated and approved all test plans for Benefits Administration during health plan implementations; acted as health plan lead and tester for implementation of benefit plans including ASO and fully insured plans. Responsible for training of new hires in Benefits Administration. Coordinated accurate IDX plan set up and interpretation of Summary Plan Documents and Schedules of Benefits based on feedback from Product Development, Compliance and CSO. Supported IS/IT during implementations including writing system change documents, documents for enhancements and system releases and testing. Supported department during conversions, testing and programming of benefit plans. Daily interaction with clinical team regarding programming of authorization logic and configuration. Responsible for writing Policy and Procedure guidelines for new products and training of Benefit Department staff. Programmed and maintained benefit riders and dictionaries owned by Benefits Admin including CPT, Diagnosis, HMO Coverage Categories, Adjudication Tables, Coverage Category Groups, ID Cards and Benefit Plan "Snapshot". Participated in weekly/monthly meetings regarding Product Development, ASO, Essentials and Reciprocity.

Received and tracked member inquiries to final resolution. Provider Relations and Marketing liaison for Coventry Health Care of Kansas. Audited CSC internet reports for correct documentation, Category and Reason Code selection. Provided benefits training for other health plan teams as part of Resource Balancing. On site trainer for conversion of Kansas Plan to Bismarck Service Center. Mentored new employees. Coordinated all aspects of claims processing including adjustments.