Showing you what we do at The Alliance is much easier than telling you.

The Alliance recently updated a chart that explains how we handle health care claims on behalf of more than 200 employers. Employers with self-funded health benefits join The Alliance cooperative to take advantage of our services, including discounts with a broad network of health providers in Wisconsin, Illinois and Iowa.

As the manager of claims and customer service for The Alliance, I lead a team that makes sure that every clean claim is repriced within three days of its arrival. In fact, 76 percent of the over 850,000 claims we receive annually are repriced by The Alliance in less than half of a day of their arrival.

How does that happen? Take a look at our chart.

health care billing cycle chart
Carlene Boehmer

Carlene Boehmer

Director of Claims & Customer Service at The Alliance
Carlene Boehmer joined The Alliance in 1999 as the account manager and became the manager of claims and customer service in 2002. Boehmer is responsible for identifying and developing recommendations to increase the efficiency and effectiveness of claims entry, repricing, eligibility processing and customer service. Boehmer's many skills include customer service, employee benefits and health insurance.

Prior to joining The Alliance, Boehmer was employed at CUNA Mutual Group as an underwriting and sales consultant where she was responsible for prospecting and generating new sales and retention of credit union employee benefit programs. Prior to joining CUNA, she worked at WPS for nearly 13 years as health plan manager.

Boehmer holds her Wisconsin Insurance License for Health & Accident and received her Bachelor of Arts degree from the University of Wisconsin-Madison.

Read blog posts by Carlene.
Carlene Boehmer

Latest posts by Carlene Boehmer

Pin It on Pinterest