I work for a TPA in Central IL processing managed care self insured and fully insured health and short term disability claims. I want learn more (i.e. fraud prevention, state mandates, ect) but have no idea were to start. Does anyone have any suggestions?

WEB, CEBS, SHRM are three organizations that should be able to help you.

WEB & CEBS either advertise or have message boards at this web site.

I also work for a TPA. For state mandates, I can recommend a reference work from Health Policy Tracking Service called Major Health Care Policies, 50 State Profiles. Their website is http://www.htps.org and phone is 202-624-3567. Good luck.

The Health Insurance Association of American (HIAA) offers self-study courses in health insurance and managed care. They have 10 courses leading up to two professional designations: Health Insurance Associate (HIA) and Managed Healthcare Professional (MHP). I purchased some of their books and study guides earlier this year for my daughter who was supervising a hospital accounts payable department. She found the books very helpful.

HIAA's Web site is at www.hiaa.org. Click on the link for Insurance Education.

Good luck!