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About Claims Eval

Welcome to Claims Eval

YOUR Independent Review Organization

Timely. Objective. Conclusive.

Claims Eval Inc. is a URAC-accredited Independent Review Organization headquartered in Rocklin, CA. We provide Peer Review services to regional and national Workers’ Compensation, Disability, Auto, Liability, Group Health, Managed Care Organizations, Employers, Pharmacy Benefit Managers and Medicare Set-Aside providers.

Our national peer review panel of licensed, board certified, actively practicing physicians constantly update their knowledge, staying abreast of new developments and standards of care in their fields.

Our objective is to help you reach appropriate medical determinations throughout the claims management process. By providing timely, objective and conclusive reviews that are defendable and evidence-based, our peer-to-peer consultation addresses medical necessity, causality and appropriateness of care.

 

Why Choose Claims Eval?

Claims Eval is committed to creating a custom program for your organization’s needs. But we don’t stop there. We will keep updating our services as your company changes and grows. Flexibility is key to our service.

Executive Team

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Michael Hamby

Michael Hamby

Executive Director

 

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Charley Tiff

Charley Tiff

Director of Operations

 

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Angela H. Vine

Angela Vine

National Director of Marketing

 

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Adam Richardson, DPM

Adam Richardson

Director of Physician Services

Managerial Team

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Vanessa Anderson

Vanessa Anderson

Peer/File Review Supervisor
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David Bartels

David Bartels

Information Technology Manager
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Kristan McNally

Kristan McNally

Physician Recruitment & Credentialing, Depositions, UR Specialist
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Rajani Shrestha

Rajani Shrestha

Web Portal Technical Support
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Elfi Sotomayor

Elfi Sotomayor

Human Resources Manager
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Elizabeth Speth

Elizabeth Speth

Physician Recruitment & Credentialing