September 19, 2019 EBPA Innovation Series
Thank you to our
Program Sponsor
INSURANCE FRAUD: Washington State Enforcement
Overview & Case Studies
Insurance Fraud
Introductions
Overview
OIC Regulatory Investigations
OIC Criminal Investigations
Overview
Referral Routing
Process Criminal v. Civil
RCWs in Title 48
Unit Activities
Questions & Summary
Phil Comstock, Detective Sergeant & Randi Osberg, Senior Investigator will present this topic.
SELF-FUNDING: A Deep Dive Into Innovative Solutions Including
RBP, Promoting Member Consumerism, Specialty Rx, Transparency, and Cost Containment
Join Tim Callender, healthcare attorney and Vice President of Sales & Marketing for The Phia Group, as he presents a discussion on the top, innovative solutions that self-funded health plans are implementing to drive costs down while assuring they are delivering the richest benefits possible. Learn how you can differentiate yourself as a consultant, as a plan-sponsor, or as any other stakeholder in the space, by gaining a deeper understanding of real solutions that you can implement across your book of business, today.
PHIL COMSTOCK, Detective Sergeant for the Office of the Insurance Commissioner's Criminal Investigations unit has over 36 years of law enforcement experience having worked for the Lacey Police Department as a police officer, narcotics detective and lieutenant. He has experience in crime scene management, evidence processing, writing and executing of search warrants, and field operations.
Phil supervised a detective division responsible for responding to and investigating homicides, assaults, thefts, frauds, sex offenses, crimes against children and other felony crimes. He has been assigned to and supervised multi-jurisdictional responses to civil disturbances and officer involved shootings.
Phil has a Bachelor’s Degree from The Evergreen State College. He is a graduate of the Washington State Criminal Justice Training Commission Northwest Law Enforcement Command College and a 2001 graduate of the FBI National Academy in Quantico, Virginia. He has obtained supervisory, mid-management, and executive level certifications from the Criminal Justice Training Commission.
Phia Group
Tim Callender, Esq; Vice President, Sales & Marketing
Tim serves as the Vice President of Sales and Marketing for The Phia Group, LLC. Prior to his current role, Tim served as a health care lawyer, staff attorney and lead PACE counsel for The Phia Group.
Before joining The Phia Group, Tim spent years functioning as in-house legal counsel for a third party administrator. Tim is well-versed in complex appeals, direct provider negotiations, plan document interpretation, stop-loss conflict resolution; keeping abreast of regulatory demands, vendor contract disputes, and many other issues unique to the self-funded industry.
DETAILS:
Date: September 19, 2019
Location: Washington Athletic Club - 1325 Sixth Avenue, Seattle, WA
Time: 7:15-8:00 am Registration, Breakfast
8:00-8:50 am Insurance Fraud
8:50-9:00 am Break
9:00-9:50 am Self Funding
9:50-10:00 am Q&A, WAOIC sign out
Fees: $65 members; $85 non-members and guests by deadline
$80 members; $100 non-members and guests after deadline
