PPC Partner-Plus Consulting, Inc.
Healthcare Claim Reviews
 

 

Staff Support

  

PPC Partner Plus associates are primarily healthcare reviewers.  The total staff consists of fifteen associates, which includes fourteen quality reviewers.   We are located in Granbury, Texas.  PPC staff members all have previous experience in the healthcare industry in claims administration and as claims quality reviewers.  We do not utilize trainees since claims experience is a tool necessary for quality review of claims administration.

For staff training on a national level, PPC staff attends the Self Insurance Institute of America, National Association of Health Underwriters and the Health Insurance Association of America.  On a local level, our staff attends and participates in the DFW Healthcare Alliance, Texas Professional Benefit Administration Association, Worldwide Employee Benefits Network, and DFW Business Group on Health.  Founder Nan Coleman attended The Institute of Internal Auditors, Effective Auditing of Health Benefits Administration.  PPC also subscribes to various industry publications. 

President Nan L. Coleman and Senior Vice President Diana M. Valdez manage all claim review projects.  Bios below list the experience of both Ms. Coleman and Ms. Valdez.

 

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  • Nan L. Coleman
  • Diana M. Valdez

Nan Coleman founded PPC Partner Plus Consulting, Inc in 1998.  As PPC’s President, Nan utilizes her 35 years of experience in management of third party administrators.

Prior to founding PPC Partner-Plus Consulting, Inc., Nan served as Vice President of Field Operations for Centra Benefits, Vice President of Operations for Equifax Healthcare Services, Senior Vice President of Claims & Group Administration for Health Economics Corporation, and Group Vice President of Claims for Life Insurance Company of the Southwest. Her executive roles required her to manage staffs of 250 – 350 people in various field offices in the US.  Her management areas included managed claims processing, customer service, member services, underwriting, provider relations, account management, reinsurance, flexible spending accounts, Cobra administration, quality claim review, contract negotiations, and document management for self-funded medical & dental products, HMO managed care self-funded products, interactive voice response, and repricing of claims for PPO.

Nan’s dedication and the power of commitment to client projects is the basis for her success in the health care administration industry.  Nan received her Bachelor of Arts degree in Management from Dallas Baptist University, Dallas, Texas.  She is an Affiliate of Life & Health Claims.

Diana M. Valdez joined PPC in July 2003 as an Executive Consultant.  Diana utilizes her 24 years of healthcare industry experience, including 19 years focused on management of self-funded plans, providing PPC’s clients comprehensive claim review of their healthcare benefit programs.  

Diana was Senior Vice President of Operations at American Administrative Group, Senior Vice President/COO for UICI Administrators, Assistant Vice President of Managed Care Services for Centra Benefits Healthcare Administrative Services, and Vice President of Client Administration for Third Party Claims Management, a subsidiary of Aetna.  As an executive she has managed over 250 employees with company revenues in excess of $20 million dollars.  Her management experience has been in the areas of sales, marketing, account management, claim review/training, technical plan support, claim administration, provider network development, and stop-loss administration. 

Diana’s past experience with large employer groups, including large governmental entities, provides a breadth of knowledge to the operational claim review and has been instrumental in her success in the healthcare administration arena. 
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