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About the Firm Wakely and Associates, Inc. is a third party administrator based in Largo, Florida. Since its formation in 1969, the Firm has grown with a reputation for professionalism, ethical business practice, and responsive service. Currently the Firm has over 350 employees. Wakely and Associates, Inc. provides administrative services to life and health insurance and reinsurance companies. The Firm owns and operates its own state-of-the-art computer facility. Procedures, practices and computer operations are all HIPAA compliant. The Firm is authorized to perform third party administrative services in all states. Wakely and Associates, Inc. has grown to be one of the largest TPAs in the Southeastern United States by providing high quality services to its clients at affordable prices. The Firm relies on invitation and referral as the primary sources of business. The Firm is proud of its reputation and ability to provide professional services. You are invited to consider these services and resources. For further information on services, please contact the Firm's office or visit their web site at: Wakely and Associates, Inc. www.wakelyinc.com
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| Meet the TPA Founders John J. Anthony, FSA Mr. Anthony joined the Firm in 1974 after three years of experience with a large mutual insurance company. His consulting and third party administration experience includes most areas of life and health insurance company operations. Raymond J. Biscoglia, FSA Mr. Biscoglia joined the Firm in 1976. His professional experience includes most areas of individual life and health insurance. John Anthony and Raymond Biscoglia retired effective April 1, 2008.Meet Senior Management W. Randolph Samples, CPA, FLMI Prior to joining the Firm in 1998, Mr. Samples had 24 years of experience in the life insurance industry in positions ranging from staff accountant to chief financial officer, chief administrative officer, and director. Mark Postove, ASA Mr. Postove entered the actuarial profession in 1976 and joined the Firm in 1998. For the previous 17 years, he was an independent software developer in the insurance industry. He has extensive experience in the design and development of insurance administrative systems. He oversees all IT and Model Office functions. |
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Our Administrative Services Section utilizes a staff of experienced insurance professionals and its computer facilities to furnish clients with a wide variety of services in the individual life and health insurance market. Through a widely licensed third-party administration operation this Section can perform essentially any function normally associated with an insurance company's home office operation. Services Underwriting of life and health products Administrative Services Management William P. Anthony, FLMI Mr. Anthony is the Human Resources Manager with the Firm's Home Office Support Section. Professionally, he is recognized as a Fellow of the Life Management Institute (FLMI). Mr. Anthony oversees functions pertaining to Human Resources, Electronic Imaging, Mailroom and Reception. He earned his Bachelor of Science degree in Business from Florida State University in 1990. Mr. Anthony joined the Firm in 1998, bringing with him 7 years of managerial experience in the Human Resources field. William M. Reynolds, FSA, MAAA Ms. Shaffer joined our Firm in 1996 bringing over ten years experience of life and health insurance underwriting from a large insurance company. She moved to our Compliance Section in 1998 and currently is responsible for our Firm’s license renewals, annual reporting to the state departments and overseeing continued compliance of the Firm’s clients in our administrative operations. Timothy S. Grooms, CMA, FLMI Mr. Grooms joined the Firm in 1989, after several years of experience in the accounting department of a life insurance company. He oversees the Firm's accounting, finance, and treasury functions for the Administrative Services Section. He is also experienced in the preparation of Statutory Annual Statements and the associated electronic filings. Heather Bosley, FLMI, HIA, ACS, HCSA, AIAA, AIT Prior to joining the Firm in 2004, Ms. Bosley had 9 years of insurance experience ranging from Customer Service, Policy Issue, Agent Licensing, Commission Accounting, Business Analysis and Quality Testing. Darlene M. Johnson, FLMI, CPCU Ms. Johnson joined the Firm in 1981,
bringing with her 16 years experience in data processing and policy administration
with a large insurance company. After working as a computer programmer during
the design and implementation phases of the Firm's insurance administration
system, she assumed the position of operations manager in 1984. In this
role, she was responsible for customer service and consumer affairs. She
developed and coordinated administrative procedures for all functions performed
within the Policy Administration Department.
Shelia B. Granger, FLMI Life Policy Administration Manager Ms. Granger is manager of the Firm's Life Policy Administration Department within the Administrative Services Section. Ms. Granger joined the Firm in 2007. Professionally, she is recognized as a Fellow of the Life Management Institute (FLMI). She has a Bachelor's degree from West Georgia College in Carrollton, Georgia. Prior to joining the Firm in 2007, she had over 25 years of experience in the Policyholders Service Department and Agency Department of a life insurance company. She is responsible for customer service, policy issue and claims for the life business. Debra S. Klein, ACS, FLMI Sue Schmidt Donna Walters Nicole Howard-Wade |
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The Information Technology and Home Office Support Section provides the following services to all sections of the company: Hardware and software support Information Technology & Home Office Support Management Mark Postove, ASA Mr. Postove entered the actuarial profession in 1976 and joined the Firm in 1998. For the previous 17 years, he was an independent software developer in the insurance industry. He has extensive experience in the design and development of insurance administrative systems. He oversees all IT and Model Office functions. David Carpenter Mr. Carpenter manages the Applications area of the Information Technology Department. He earned his Bachelor of Science degree in Business Administration from Sonoma State University. Prior to joining the Firm in 2006, he spent 14 years in the insurance industry in various management roles related to application development, document automation, customer service, and quality assurance. He manages the Firm's technical staff of programmers and analysts. David Borquez, MCSE, CCNP, CNA Burton Cobb, FLMI, CCP Mr. Cobb is Senior Life Specialist in the Information Technology Department. Professionally, he is recognized as a Fellow of the Life Management Institute (FLMI) and as a Certified Computer Professional (CCP). Mr. Cobb joined the Firm in 2007, bringing over 35 years of experience in the life insurance industry. His expertise includes all aspects of the software systems used for the processing and management of many types of insurance policies. He also has extensive experience in the conversion of insurance products to administrative systems. |
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Wakely and Associates, Inc. is a third party administrator that administers Medicare Supplement benefits. At this time we are currently accepting standard (EDI) claim transactions from Medicare, and non-standard (paper) claims from providers and policyholders. We accept all HIPAA transactions indicated below, via a web-based gateway, directly from providers upon the complete implementation of the Transactions and Code Sets standards. We are not planning a relationship with clearinghouses for the collection and distribution of this information. However, we will continue to receive Medicare claims electronically from Medicare contractors, and therefore in most instances we will receive 837's without the need for you to submit them directly. Listed below are the HIPAA Transactions and Code Set Standards and our current status regarding HIPAA compliant transactions.
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