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Assessment of Claims Quality "Leakage" and development
of quality improvement program;
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Development of fictitious test‑claim facility
to assess quality of health claims processing;
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Design of new claims audit approach to get "current
read" on quality for long-tail lines;
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Assessment of environmental claims quality and development
of staffing guidelines;
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Evaluation of COLOSSUS claims settlement expert system;
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Development of audit guide and best practices manual
for health claims processing;
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Analysis of claims allocated legal expense;
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Utilization of "Snapshot" approach for analyzing the
allocation of claims resources to claims handling activity, type of claim, and accident period;
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Analysis of legal expense trends in the insurance
industry;
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Analysis of factors resulting in adverse case
reserve development;
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Development of productivity standards for claims operations;
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Director of a national conference on controlling erroneous
medical claims;
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Analysis
of factors influencing insurance claim settlement value;
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Comparative expense analysis of health claims processing
carriers;
-
Analysis of factors influencing claim settlement value;
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Design of personal computer reporting system for contract
surety claims management;
-
Comparative expense analysis of Medicare claims processing
carriers;
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Development of "Snapshot" approach for analyzing the
allocation of resources to work task, line of business, and reporting period;
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Development of methodologies for determining “true
product costs”;
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Evaluation of Activity Based Costing (ABC) models,
and development of objective “data-driven” approaches for specifying ABC model parameters.
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Development of information system strategies for
processing and for management reporting;
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Evaluation of field office configuration alternatives;
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Comparison of costs and utilization in capitated versus
fee-for-service health delivery environments;
-
Development of computerized system for underwriting
financial risks;
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Development of computerized system for detecting erroneous
medical claims and for profiling medical practitioners;
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Assessment of alternatives for relocation of a company's
home office;
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Development of long‑range strategy for rebuilding
a company's processing infrastructure;
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Evaluation of utilization controls in Medi-Cal reform;
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Analysis of methods for integrating a company's pricing,
financial, and investment strategies;
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Comparative analysis of expenses for peer companies;
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Development of resource profile and analysis of expense
"drivers" for corporate staff functions;
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Development of performance measures for comparing
different state Medicaid programs;
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Evaluation of alternative configurations for a large-scale
inventory distribution system;
-
Development of statistical analysis approaches for
computer simulations;
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Cost-benefit analysis of U.S. Navy Commissary System;
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Development of software for automated train control
system for the Bay Area Rapid Transit (BART) system, and development of simulation methodology for testing control system;
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Simulation of alternative memory storage designs for
large mainframe computers;
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Development of optimal inventory stocking methodology
for a large premium stamp company;
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Analysis of centralized versus decentralized operations;
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Evaluation of "corrective strategies" for control
and scheduling of rapid transit trains;
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Study of cost-benefit impact of consolidating Navy
procurement offices;
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Development of productivity standards for various
operating departments;
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Assessment of the financial impact of unsatisfactory
quality; development of quality improvement program;