BNET Industries

Last Fiscal Year Sales:$60.0M
  • Private
  • US
Dow Jones Description

Cairnstone was founded in February 1996 by a team of individuals who had previously built the industry's largest and perhaps most successful organization providing stop-loss products. After many years in the business, this team observed that all of the companies in the market focused most of their energies on price competition getting to "the best numbers". Few resources were dedicated to reducing a client's real costs the amounts paid on catastrophic claims. In addition, the Cairnstone team envisioned the creation of a company where all employees were owners where each embraced Cairnstone's values, goals, and strategies. The Cairnstone team also sought to create a highly entrepreneurial company, where all employees expressed a "can-do" approach to solving problems and serving clients. Since inception, Cairnstones' relationship with world-class partners and the hard work and perseverance of its expanding team of talented associates, has lead to its success in serving hundreds of clients.

President
Paul Fallisi
Number of Employees 18
Contact Information

5201 Blue Lagoon Dr

Miami, Florida 33126

www.cairnstone....

(305) 265-1422

NAICS Code Direct Health and Medical Insurance Carriers: 524114

News & Analysis

cairnstone inc. - All News and Analysis

Decision Makers

Name (plus bio) Position
Paul Fallisi President
Emily Dixey Chief Underwriter
James Elliott Chief Financial Officer
Susan Bowman Vice President and Chief Information Officer
Ana Gilaberte-Marsh Vice President and Counsel
Debora Seneca Vice President of Claims & Care Management
Gene Stevens Vice President
James Keller Vice President of Operations
Kathleen English Vice President of Sales & Marketing
W. James Tillett Founder
Dave Reed Regional Director
Helen Smith Director, Risk Management
Michael Ann Johnson Regional Director
Nathan Hays Director, Managed Care Reinsurance
Walt McElroy Regional Sales Director
Alice Iglesias Office Manager and Personnel Administration
Christopher R Larson Manager
Diane Serrao Manager of Policy Issue
Jeana Kidd Case Manager
Kathy Kruska Manager
Nemi Poyot Manager, Finance
Nemi Sales Manager, Finance
Terry Cheng Manager of Mis and Communications
Bill Petrie Senior Claims Analyst
Chris Magulick junior underwriter
Chris Miller
Edgar Carbonell
Eloy Montesino Claims Analyst
Heather Hogan Administrative Assistant
Jason Williams
Jerry Carubia Stop, Loss Underwriter
Jim Lalko
Kathleen Cassotti
Mike Coon
Milo Ramos Senior Claims Analyst
Nicole Zaniboni Marketing Underwriter
Pam Hammer Medical Risk Management Consultant
Pat Scott Medical Risk Management Consultant
Peter Brophy
Randy Driscoll Marketing Underwriter
Sharon Stubblebine Senior Underwriter
Stephanie Johnson
Stephanie Nampel Underwriter
Stephanie Nampel Maciejewski
Tara Torres Claims Analyst

As Cairnstone's chief actuary, Paul oversees the underwriting and pricing of all of Cairnstone's business. He is responsible for developing and updating the company's rating manuals and methodologies, estimating claim reserves, analyzing underwriting performance and identifying select market niches. Paul is also the key person for the development and pricing of new products and features. As one of the founders of Cairnstone, Paul was initially responsible for the opening of Cairnstone's nine field offices and for recruiting the Regional Directors to manage these offices. Prior to joining Cairnstone, Paul was employed by Alden Risk Management Services. In this capacity, he developed a consistent reserving technique for specific and aggregate stop loss, which is now the industry standard. Paul received his BA in Actuarial Science from Temple University and holds an FSA designation from the Society of Actuaries.

Organization Position Status
Cairnstone Inc. President Current
Cairnstone Inc. Chief Actuary & Senior Vice President Former
Temple University BA In Actuarial Science Former

Organization Position Status
Cairnstone Inc. Chief Underwriter Current
Cairnstone Inc. Director of Underwriting Former
Salem State College MBA In Business Management Former
R.E. Moulton, Inc. Former
New York Life Insurance Company Former
Denison University BA Degree In Geology Former
Salem State College BA Degree In Geology Former

Organization Position Status
Cairnstone Inc. Chief Financial Officer Current
John Alden Life Insurance Company Chief Financial Officer Current
Cairnstone Inc. Board of Directors Current
Con-Version Former
University of Delaware Bsba Former
Cairnstone Inc. Member Former

Organization Position Status
Cairnstone Inc. Vice President and Chief Information Officer Current
Boston College BA in Mathematics and Computer Science Former

Organization Position Status
Cairnstone Inc. Vice President and Counsel Current

Debora is a registered professional nurse who has been involved in the healthcare/insurance industry for over 25 years. Most recently in 2000, Debora was Director of Medical Management and Claims for BCS Insurance Company in Minneapolis, MN. She was a member of the stop loss team that generated a 25 million block of employer stop loss business. Among her responsibilities at BCS were administrator evaluations, risk assessments, medical management and claim oversight and resource assistance to over 25 administrators. In addition, her previous experience includes developing and managing a catastrophic case management program in coordination with a third party administrator as well as co-founder and Vice President of PAI, a benefits consulting firm. Additional work experience includes three years as Faculty Associate at the University of Southern Maine School of Nursing. Debora graduated from the University of Vermont School of Nursing and has earned certifications in geriatrics and case management. She is a current member of CMSA and also holds her producer license for Life and Health.

Organization Position Status
Cairnstone Inc. Vice President of Claims & Care Management Current
Cmsa Board of Directors Current
Cmsa Member Current
Casemanagement.Com, Inc. Vice President Former
Casemanagement.Com, Inc. Co-Founder Former
B.C.S. Insurance Company Inc. Director of Medical Management and Claims Former
BCS Administrator Former

Organization Position Status
Cairnstone Inc. Vice President Current
Cairnstone Inc. Marketing Director Current
Cairnstone Inc. President, Cairnstone Marketing Corpion Former
National Benefit Resources, Inc Former
Western Illinois University Bs In Business Administration Former

Jim joined Cairnstone in March of 2000. He directs the company's Claims, Medical Management, and Policy Issue operations. Jim has over 30 years of administration experience covering fully insured & HMO plans, as well as employer stop loss, HMO reinsurance, and Provider reinsurance. Prior to joining Cairnstone, Jim held the position of Senior Vice President of Operations for Neighborhood Health Partnership, a local HMO in Miami covering 150,000 members. Prior to NHP, Jim held a variety of positions during his 16+ years at John Alden Life Insurance Company, including Vice President of Group Operations. Jim initially directed the HMO Reinsurance division and later opened and managed Anchor Benefit, a TPA subsidiary of ARMS. Jim is a licensed agent and a member of the International Claims Association as well as The National Coalition of Healthcare Fraud Association.

Organization Position Status
Cairnstone Inc. Vice President of Operations Current

Kathleen serves as Vice President of Cairnstone Marketing Corporation. She operates out of Cairnstone's Pittsburgh office, where she is also responsible for managing a sales territory, including New Jersey, Pennsylvania, West Virginia, Maryland, Delaware, and Virginia. Kathleen joined Cairnstone in May 1996 as Regional Director of the Pittsburgh office. She was promoted to Vice President in recognition of her outstanding achievements in both new business production and underwriting results.

Organization Position Status
Cairnstone Inc. Vice President of Sales & Marketing Current
Cairnstone Inc. Manager Current
Cairnstone Inc. Regional Director of the Pittsburgh Office Former
Duquesne University BS Former

Jim, along with a proven team of reinsurance professionals, founded Cairnstone, Inc. in February 1996. He has guided Cairnstone from a start-up to a successful health-care reinsurance company managing a $60 million block of business. Prior to founding Cairnstone, Jim had created a similar entity, Alden Risk Management Services, Inc. (ARMS), the entrepreneurial subsidiary of John Alden Life Insurance Company. Under his leadership, this organization became the industry leader in stop-loss insurance, generating over $200 million in revenue and employing over 200 people. Jim also founded a second subsidiary for Alden, John Alden International, which provided medical reinsurance to insurance companies outside the United States. Jim is a Master Fellow of the Life Management Institute and a graduate of the Stanford University Executive program.

Organization Position Status
Cairnstone Inc. Founder Current
Cairnstone Inc. Chairman Current
Cairnstone Inc. President and CEO Former

Organization Position Status
Cairnstone Inc. Regional Director Current
Cairnstone Inc. Stop, Loss Underwriter Former
First Health Coordinator Former
Robert Morris University Bachelor of Science In Business Administration Former

Helen Smith, RN, BSPA, CCM has been with Cairnstone since 1997. Her background includes over thirty years of nursing experience and management roles, as well as development of a managed care program for the state's largest insurer, a national utilization review and case management program, medical-legal file reviews and working with both indemnity and stop-loss products.

Organization Position Status
Cairnstone Inc. Director, Risk Management Current
Cairnstone Inc. Senior Risk Management Consultant Current
Cairnstone Inc. Senior Case Manager Former

Organization Position Status
Cairnstone Inc. Regional Director Current

Organization Position Status
The North Carolina Company Regional Director Current
South Carolina LLC Regional Director Current
Cairnstone Inc. Director, Managed Care Reinsurance Current
Florida.Com Inc Regional Director Current
Cairnstone Inc. Board of Directors Current
Georgia Institute of Technology Bachelors of Science Former

Organization Position Status
Cairnstone Inc. Regional Sales Director Current
Cairnstone Inc. Manager Current
The Citadel BA In Political Science Former

Organization Position Status
Cairnstone Inc. Office Manager and Personnel Administration Current
Society for Human Resource Management Current
Cairnstone Inc. Executive Assistant Former
Florida International University Bachelor's Degree In Business Administration Former
University of Miami Human Resource Management Former

With more than 25 years experience, Chris Larson leads the firm with a constant eye on innovation and improvement. As a mechanical engineer, he is current with the issues of building systems design, including indoor air quality, ASHRAE standards, CFC usage, mold prevention, and green building practices. His experience in complex design, as well as HVAC construction and design-build production, brings cost-effective, practical and innovative options to the firm's projects. A strong business background provides Chris the perspective needed for managing a company in today's economy. His business values are reflected in our continuous application of computer science and technology to enhance product quality and the efficiency of design production. Chris has a B.S. degree in mechanical engineering from the University of Kansas and a B.S. in business administration from the University of Colorado. He is licensed in 40 states and the District of Columbia.

Organization Position Status
Larson Binkley, Inc. President and CEO Current
Equis Corporation Vice President, Transaction Advisory Current
Larson Binkley, Inc. Owner Current
Cairnstone Inc. Manager Current
Larson Binkley, Inc. Mechanical Engineer Former
University of Colorado Cardinal Stritch College Former
Cairnstone Inc. Stop, Loss Underwriter Former
IOA Re, Inc. Senior Stop, Loss Underwriter Former
Great-West Life Former
University of Kansas B.S. Degree In Mechanical Engineering Former
University of Colorado B.S. In Business Administration Former

Diane joined Cairnstone in June 1996 where she wore multiple hats assisting with establishing and maintaining the company's administrative operations. In July 1999 Diane was promoted to Manager of Policy Issue. She works with our field offices, TPAs and brokers to obtain the necessary documents and information for the timely issuance of Cairnstone's policies. Diane was born and raised on the island of Trinidad and moved to the US in 1981. She along with her husband and children became US citizens in 1999.

Organization Position Status
Cairnstone Inc. Manager of Policy Issue Current
Tpas Current

Jeana Kidd, RN joined Cairnstone's outstanding team of professional nurse's in December 2005. With over 25 years in the healthcare/insurance industry, Jeana is a valuable addition to the Cairnstone team. Previously she has worked with both BCS and National Benefit Resources as a Medical Management Consultant based in Minneapolis, MN. In this role she worked closely with the underwriters and claims analysts by assisting in risk analysis, medical management and claim oversight, as well as acting as a resource in these areas for affiliated TPA's. Jeana's background also includes experience in many areas of acute care, case management and utilization review.

Organization Position Status
Cairnstone Inc. Case Manager Current
Cairnstone Inc. Medical Risk Management Consultant Current
National Benefit Resources, Inc Medical Management Consultant Former

Organization Position Status
Cairnstone Inc. Manager Current
Cairnstone Inc. National Group Life Coordinator Current
Orange County Administrative Assistant Former

Nemi was hired as Cairnstone's Financial Analyst in October 1996 and promoted to Manager of Finance in January 2000. As Manager of Finance, her duties include the handling of all financial transactions as well as overseeing the premium area. Nemi acquired her experience in accounting, office management and the insurance field during 10 years of employment at Connecticut Mutual Life where she was the Office Manager in charge of three locations. Her experience with different accounting software applications, payroll issues, business tax filings and producer compensation has proven invaluable to Cairnstone in establishing and implementing its accounting procedures.

Organization Position Status
Cairnstone Inc. Manager, Finance Current

Organization Position Status
Cairnstone Inc. Manager, Finance Current

Terry joined Cairnstone in May of 2001 as Marketing Coordinator. Since the beginning, she has contributed her experience in several areas of the company. In January of 2003, Terry was promoted to Manager of MIS and Communications. She is responsible for overseeing the company's telephone and data accounts and systems, business recovery plans and develops marketing materials for the various Cairnstone products and services.

Organization Position Status
Cairnstone Inc. Manager of Mis and Communications Current
Diversified Underwriters Services, Inc. Operations Manager Former
St. Thomas University Bachelor's Degree In Business Management Former
Cairnstone Inc. Marketing Coordinator Former
North Star Marketing, Inc. Former
John Alden Life Insurance Company Former
St. Thomas University Bachelor's Degree In Business Management Former

Bill began his career at Cairnstone in February of 1997 as a Claims Analyst in the Pittsburgh office. His close proximity to our clients, his considerable claims knowledge and his customer service skills have been a great asset to this office. Prior to joining Cairnstone, Bill was a Business Manager with Metropolitan Life's Group Health Division, where he worked on self-funded as well as fully insured cases. He has been in the health insurance industry for over 25 years. Bill holds a Bachelor of Business Administration degree from Ohio University.

Organization Position Status
Cairnstone Inc. Senior Claims Analyst Current
Ohio University Bachelor of Business Administration Degree Former

Organization Position Status
Cairnstone Inc. junior underwriter Current
Miami University BS In Economics Former

Organization Position Status
Cairnstone Inc. Current
Great-West Life Former
IOA Re, Inc. Former
University of Colorado B.A. In Communication Former

Organization Position Status
Cairnstone Inc. Current
Florida International University BS In Business Administration Former

Organization Position Status
Cairnstone Inc. Claims Analyst Current
Olympus Managed Health Care Inc. Director of Medical Claims Former
John Alden Life Insurance Company Former
Nova Southeastern University Bachelor's Degree In Business Management Former

Organization Position Status
Cairnstone Inc. Administrative Assistant Current
Gallagher Benefit Services, Inc. Former
Rockhurst University Bachelor's Degree In Psychology Former

Jason joined Cairnstone in April 2006 as a Marketing Underwriter in the Dallas Office. He has 13 years of experience in the self funded insurance industry. Prior to joining Cairnstone, he was a Senior Underwriter with HCC Benefits for 10 years. His sales territory includes California, Nevada, and Arizona.

Organization Position Status
Cairnstone Inc. Current
HCC Benefits Corporation Former

Organization Position Status
Cairnstone Inc. Stop, Loss Underwriter Current
Blue Shield LLC Former
The Blue Cross Former
Youngstown State University Bachelor of Arts Degree Former

Organization Position Status
Cairnstone Inc. Current
U.S. Benefits, Inc. Vice President Former
University of Wisconsin-Stevens Point BS In Mathematics Former

Kathy joined Cairnstone Re in October 2006 as a Marketing Underwriter. She brings with her over 17 years of experience in the Stop Loss Reinsurance industry. Kathy has underwritten on behalf of such carriers as Sun Life, Allianz Life, Zurich American Life and Standard Security Life Insurance Company of New York. Active in the industry, Kathy is a member of both the Local and National Association of Health Underwriters, the Self Insurance Institute of America and holds a designation in the Health Insurance Association of America. Kathy's marketing territory are the states of Indiana and Tennessee.

Organization Position Status
Cairnstone Inc. Current

Organization Position Status
Cairnstone Inc. Current
Purdue University Former

Milo Ramos joined Cairnstone in May 1996 as Senior Claims Analyst. Prior to joining Cairnstone, Milo was at John Alden Life and worked with self-funded, fully insured and HMO reinsurance products. With over 20 years of health insurance experience, Milo has worked with various types of claim related processes including first dollar, reinsurance and international claims. At Cairnstone, Milo handles specific and aggregate claims, monitors reserves and services customer inquiries and correspondence. She interacts daily with TPA's, brokers and interdepartmental staff. In addition to her varied insurance background, Milo has a very unique personal background. Born in Cienfuegos, Cuba Milo immigrated to the United States in 1982. She obtained her high school degree from Jorge Luis Estrada University in 1979 and completed two years of college at the Colegio de Economia de Cienfuegos, majoring in economics. While visiting Mexico on a tourist visa, Milo crossed the Mexican boarder into California and applied for political asylum. She was determined to succeed and immediately applied for legal residency, which was granted in 1987. Milo is fluent in Spanish and English. She enjoys helping other Cuban immigrants by providing assistance in obtaining housing, education and filing of documents.

Organization Position Status
Cairnstone Inc. Senior Claims Analyst Current

Organization Position Status
Cairnstone Inc. Marketing Underwriter Current
HCC Benefits Corporation Underwriter and Senior Underwriter Former
Salem State College Bachelors Degree Former

Organization Position Status
Cairnstone Inc. Medical Risk Management Consultant Current

Organization Position Status
Cairnstone Inc. Medical Risk Management Consultant Current

Organization Position Status
Pennsylvania, Inc. Property & Casualty Insurance Producer Current
Cairnstone Inc. Current
State Farm Mutual Automobile Insurance Co. office manager Former
State Farm Mutual Automobile Insurance Co. Sales Specialist Former
California University of Pennsylvania BS In Business Administration Former

Organization Position Status
Cairnstone Inc. Marketing Underwriter Current
American International Group, Inc. Former

Organization Position Status
Cairnstone Inc. Senior Underwriter Current
IOA Re, Inc. underwriter Former
Third Party Administrators, Inc. Former
West Chester University BS In Economics Former

Organization Position Status
Cairnstone Inc. Current

Organization Position Status
Cairnstone Inc. Underwriter Current
Lawrence University Bachelor's degree Former

Organization Position Status
Cairnstone Inc. Current
Lawrence University Bachelor's Degree Former

Tara joined Cairnstone in 1997 as a Claims Analyst. She has over 10 years of experience in the health insurance industry. Prior to joining Cairnstone, Tara worked at John Alden Life Insurance and Kemper National Services. At John Alden, she handled the claims and customer service for conversion policies and then worked in the International insurance division as a Senior Claims Examiner dealing with foreign claims, translating medical services and currency. At Kemper National Services, she was an Auditor/Trainer where she was responsible for training and auditing all claims examiners and customer services representatives. At Cairnstone, Tara interacts daily with TPAs and builds good relationships with their case management staff.

Organization Position Status
John Alden Life Insurance Company Former
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