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Board of Directors
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Click Here for a list of NAMSAP Past Presidents.



Ciara Koba, Esq.

Partner, Gordon Rees Scully Mansukhani, LLP

Ciara F. Koba is a Partner in the Pittsburgh office of Gordon & Rees and is a member of the Medicare Compliance Group. Koba is an attorney and licensed registered nurse with significant general and surgical nursing experience and she brings a unique understanding of the healthcare industry to the resolution of Medicare issues. She focuses her practice on Medicare Secondary Payer Compliance issues that arise in the resolution of workers’ compensation, longshore, Jones Act, Federal Employers Liability Act and general liability claims and she has been instrumental in settling tens of thousands of cases nationwide involving Medicare issues. Her work includes MMSEA Section 111 Mandatory Insurer Reporting, Medicare Compliance Audits, Medicare Conditional Payment resolution, and the preparation of Medicare Set-Aside Allocations.

Koba is a recognized national presenter on Medicare Secondary Payer compliance topics and frequently lectures to insurance carriers, self-insured businesses, third-party administrators, law firms and professional industry organizations.

She graduated from Duquesne University School of Law, cum laude, in 2011. While there, she founded the university’s first Health Law Society and served as its president. Koba received a Bachelor of Science in Nursing from Duquesne University in 2006.


Vice President

Daniel Anders, Esq., MSCC

Chief Compliance Officer, Tower MSA Partners

Daniel M. Anders, Esq., is the Chief Compliance Officer for Tower MSA Partners where he oversees the Medicare Secondary Payer (MSP) compliance program. In this position, Anders is responsible for ensuring the integrity and quality of all MSP compliance services and products. Based upon his 14 years of experience in working with employers, insurers, TPAs, attorneys and claimants, Anders provides education and consultation to Tower MSA clients on all aspects of MSP compliance. He also regularly offers expert guidance on Tower MSA’s MSP Compliance Blog, has been featured in “Leaders Speak” on WorkCompWire and is regularly quoted on WorkCompCentral in regard to MSP matters.



Steven Miller, MSPharm, DPh, RPh, CMSP-F

President, PharmacyMSA

Steven J. Miller, CMSP-F, MSPharm, DPh, RPh, is president of, a multi-faceted health care consulting organization, specializing in workers compensation and liability Medicare Set Aside development and intervention, clinical geriatric medication therapy management, managed care formulary review and analysis, provider and patient clinical intervention, and managed care pharmaceutical reimbursement issues. He is an advanced degree pharmacist with over 30 years of experience in clinical pharmacy practice. He is also a part time dispensing pharmacist with Walgreens. Miller has served in several capacities with many types of managed care organizations, and has made numerous regional and national presentations on issues such as medication issues for the elderly, cost-effective drug therapies, and pharmaceutical benefit management. He currently serves on several pharmaceutical advisory boards and on the editorial advisory board of ODG/ODG Treatment publication from the Work Loss Data Institute. Miller graduated from the University of Iowa with his B.S. in Pharmacy, and his M.S. from the University of Maryland.



John Kane, AIC, CMSP, MSCC

Medicare Program Director, Liberty Mutual

John Kane serves as the Medicare Program Director for the Liberty Mutual Group. As a twenty-five year employee with Liberty Mutual, Kane has served in a variety of claim positions including Liability and Workers’ Compensation including Regional Claims Manager for Integrated Disability Management and Loss Portfolio Risk Manager. He has been actively engaged in MSP compliance over the last fifteen years. He developed Liberty Mutual’s Centralized Medicare Department and is responsible for Vendor Management, Quality Assurance, MSP Compliance and a liaison to Public Affairs to advocate for CMS reform.

Kane is active member of the Medicare Advocacy Recovery Coalition (MARC). He is also a member of the National Alliance of Medicare Set Aside Professionals. He is an instructor for the Certified Medicare Set-Aside program. Prior to Liberty Mutual, Kane worked in the financial sector as a financial planner with a degree in Business Management. He has an Associate in Claims (AIC), Medicare Set-Aside Consultant Certified (MSCC) designation,and Certified MSP Professional (CMSP).

Members of the Board

Amy Bilton, Esq., MSCC, CMSP-F

Shareholder, Nyhan Bambrick Kinzie & Lowry

Amy E. Bilton, Esq. is a shareholder and workers’ compensation defense trial attorney at the Chicago law firm of Nyhan, Bambrick, Kinzie & Lowry. She received her BA from the University of Michigan, JD from DePaul University College of Law and has her MSCC certification. Ms. Bilton is a frequent lecturer on workers’ compensation, Medicare Secondary Payer issues and Medicare Set-Asides. In addition to being a NAMSAP member and legal committee chair, she is a member of the Chicago Bar Association, Illinois State Bar Association and Illinois Workers’ Compensation Lawyers Association. She has specific interest in bringing evidence-based medicine to MSAs.

Michelle Allan, JD

Partner, Gordon & Rees

Michelle A. Allan is a Partner in the Pittsburgh office of Gordon & Rees and is a member of the Medicare Compliance practice group. She focuses on Medicare issues that arise in the resolution of workers’ compensation, longshore, Jones Act, and general liability claims.

Allan has been instrumental in successfully settling tens of thousands of cases nationwide involving Medicare Secondary Payer issues. Her work includes preparing Medicare Set-Aside Arrangements and having the same approved by the Centers for Medicare and Medicaid Services. Allan makes recommendations on how best to consider and protect Medicare’s interests while also balancing her clients’ interests in claims not requiring Medicare approval. In addition, Allan negotiates Medicare conditional payments and has saved her clients millions of dollars in conditional payment reimbursements.

Allan is a recognized national presenter on Medicare Secondary Payer issues, and frequently lectures on the topic of Medicare compliance to insurance carriers, self-insured businesses, third-party administrators, law firms, and other professional organizations. She is also a 2011 inductee to The Legal Intelligencer’s prestigious class of Lawyers on the Fast Track.

While attending law school, Allan served as an extern for the United States Magistrate Judge Ila Jeanne Sensenich in the United States District Court for the Western District of Pennsylvania. Prior to attending law school, Allan worked as a journalist, reporting daily news for the Pittsburgh Tribune-Review.

Rasa Fumagalli, JD, MSCC, CMSP-F

Director of MSP Compliance Services, Synergy Settlement Services

Rasa Fumagalli, JD, MSCC, CMSP-F is an Illinois-licensed attorney and the Director of MSP Compliance Services for Synergy Settlement Services. Prior to joining Synergy Settlement Services, Fumagalli worked as a workers’ compensation insurance defense attorney in the Chicago area. She has spent the last ten years focusing her practice on Medicare Secondary Payer compliance issues. As the former Director and VP of MSP Compliance for a national vendor, she has extensive experience in working with parties to effectuate settlements while addressing Medicare’s interests in a reasonable manner. her knowledge, experience and passion for navigating the intricacies of the Medicare Secondary Payer Act, supporting regulations and CMS allow her to provide valuable and pragmatic guidance in all stages of settlement discussions.

Fumagalli has been an active member of the National Alliance for Medicare Set-Aside Professionals (NAMSAP) organization since 2009. She is the current co-chair of the Communications Committee and a former co-chair of  the Liability Committee.  

Beth Hostetler, RN, BSN

Director of Medicare Services, Corporate Risk Management, Albertsons Companies

Beth Hostetler is a nurse with over twenty five years experience in the field of disability management and cost containment services in Workers Compensation. She has a Bachelor of Science in Nursing from Case Western Reserve University. She has been a certified Life Care Planner and is currently a Certified Medicare Set- Aside Allocator, and Certified Medicare Secondary Payer Professional. Her experience includes nearly fifteen years as Branch Manager in the Healthcare Division of Crawford & Company as well as several years as owner of her own company which provided case management, life care planning and Medicare set-aside services. Presently, she is the Director of Medicare Services in the Corporate Risk Management Department of Albertson’s Companies which is one of the largest food and drug retailers in North America. She has developed Albertson’s internal MSP Compliance program for Workers Compensation which includes policy and procedure for MMSEA Section 111 reporting, Conditional payment identification and resolution and the MSA program. She routinely provides internal training on Medicare Secondary Payer compliance and all aspects of the MSA process.

Kevin Puckett

President/Owner, KP Underwriting, LLC

Kevin Puckett is President and Owner of KP Underwriting, LLC, an independent underwriting company that provides rated ages and decreased life expectancies for Life companies and Medicare Set-Asides. He has over 20 years of medical underwriting experience with multiple life companies. Puckett has his BBA in Business Administration and Biology from Eastern Kentucky University, an Associates designation from the Academy of Life Underwriting and his FLMI (Fellow, Life Management Institute).

He began his career with AEGON as a life insurance underwriter, but later moving into Structured Settlement and Rated Age underwriting. After 10 years with AEGON, Puckett was recruited by John Hancock to start their rated age program. After building the John Hancock program, he ventured out and started KP Underwriting, LLC. With KP Underwriting, Puckett has performed underwriting services for multiple life companies, including, writing underwriting manuals, auditing underwriting departments as well as performing expert witness testimony on life expectancy in multiple states.

Currently, Puckett and KP Underwriting, perform rated age services for a majority of the companies in the Medicare Set-Aside market.

Thomas J. Stanley, MSSC, CMSP

President, The Stanley Insurance Agency

Thomas Stanley is the President of the Stanley Insurance Agency, Inc. Since 2002, the Agency has provided full service WC Medicare Set-Aside consultation to a varied clientele. WCMSA services are a natural compliment to the settlement annuity services the Agency began providing in 1987. Stanley holds the MSSC and CMSP certifications. Recently, he was one of the first to complete the Masters in Structured Settlement Consulting program at the University of Notre Dame. Stanley has an MBA in finance and economics. He is a native of Minnesota and now lives in Las Vegas, Nevada.


Monica A. Williams, RN, CCM, CRRN, LNC, MSCC, CMSP, CNLCP

Manager Medicare Compliance, Innovative Claims Strategies

Monica Williams has over 20 years of Managed Care and Workers Compensation experience. She is the Medicare Compliance Manager for Innovative Claims Strategies (ICS) where she has oversight of Medicare Set Aside program which includes CMS legal submission and Conditional Payment Resolution. As Manager she has developed and implemented the Medicare Compliance Department internal workflow processes. She was formerly the District Manager for Georgia and then National Catastrophic Program Manager for Intracorp.

Monica is President of MWC, LLC consulting practice in State of Georgia which provides Complex Case Reviews, Medical, Catastrophic Field Case Management and Life Care Plans. 
She is currently a member of NAMSAP Board, , Annual Conference Committee, Liability Committee and Co-Chair of Membership Committee.

NAMSAP Past Presidents

2005-2006   Patricia "Patty" A. Meifert, RN, CRRN, CCM, CLCP, MSCC
  Robert T. Lewis, Esq.
2009-2012   Michael E. Westcott, CMSP 
2013-2014   Douglas L. Shaw, CPA, CMSP 
2014-2015   Leslie Schumacher, RN, CRRN, CCM, LNCC, CLCP, CNLCP, MSCC, CMSP 
2015-2016   Kimberly A. Wiswell, CMSP
2015-2016   Gary Patureau,  CWCP, CMSP 
2016-2017   Shawn Deane,  JD, MEd, MSCC, CMSP

2017-2018     Rita M. Wilson

2018-2019     Amy Bilton, Esq., MSCC, CMSP



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