Patricia E. Scipio, CIA, CPA - PowerPoint PPT Presentation

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Patricia E. Scipio, CIA, CPA

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Empire Blue Cross Blue Shield. WellChoice, Inc. Parent Company of Empire Blue Cross Blue Shield. Largest Health Insurance Company in New York ... – PowerPoint PPT presentation

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Title: Patricia E. Scipio, CIA, CPA


1
  • Patricia E. Scipio, CIA, CPA
  • Vice President, Auditing
  • Wellchoice, Inc.
  • Empire Blue Cross Blue Shield

2
WellChoice, Inc.
  • Parent Company of Empire Blue Cross Blue Shield
  • Largest Health Insurance Company in New York
  • Serves over 4.6 Million Members
  • Began Trading on New York Stock Exchange on
    11/8/02
  • 1 Market Share Largest Provider Network in
    Metro NYC
  • Revenues of 4.6 Billion in 2001
  • Highest Physician Auto-adjudication Rates
    Industry-wide
  • Approximately 5,700 Employees

3
WellChoice, Inc. - Corporate Audit
  • VP Auditing Reports Functionally to Chairman of
    the Board, Administratively to Chief Executive
    Officer
  • 3 Groups
  • Corporate Performance
  • Customer Audit Services
  • Internal Audit Services
  • Internal Audit Services Outsourced
  • Coordinates with External Auditors

4
Disclosure Controls Procedures
  • Form a Disclosure Review Committee
  • Obtain Meaningful Input from Outside Experts
  • Evaluate Disclosure Controls Procedures
  • Read the Reports
  • Review with Audit Committee
  • Document Actions Taken
  • Address Problems Promptly

5
Disclosure Review Committee
  • Under the Supervision of the CEO CFO
  • Membership
  • Principal Accounting Officer or Controller
  • General Counsel or Other Senior Legal Official
  • Principal Risk Management Officer
  • Chief Investor Relations Officer
  • Responsibilities Procedures
  • Confirm Adherence to Policies Procedures
  • Review SEC Rules
  • Implement Sub-certification Process
  • Review SEC Filings and Other Documents for
    Accuracy and Completeness

6
Internal Auditings Role
  • Ex Officio Member of Disclosure Review Committee
  • Review and Evaluate Disclosure Controls
    Procedures
  • Review all SEC Filings Other Documents
  • Coordinate Internal Control Reporting under
    Section 404
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