A small team.
Doing this one thing well.
Apellica is operated by a focused team rather than a faceless call center. Below is the leadership structure today, plus the advocate, advisor, and clinical reviewer roles that work each case. Full bios with photos and LinkedIn profiles will be added as we expand.
Leadership
Leads day-to-day operations and case strategy. Background in regulated services and customer operations. Personally reviews escalated cases.
Designs the operational and technology stack. Case intake, document handling, AI-assisted analysis, secure infrastructure.
Operations & advocates
The people who actually work your case day to day. Roles below are currently filled by named staff; specific names are protected from this page to avoid carrier-side targeting during active appeals.
Owns intake-to-resolution for accepted cases. Ten years of insurance ops experience.
Drafts and files written appeals across commercial, Medicare, and Medicaid carriers.
First point of contact for new submissions. Trained on empathy, elderly communication, and triage.
Advisors & medical reviewers
We don't handle every case in-house. Outside counsel, a licensed nurse reviewer, and an insurance industry advisor sit on our review panel.
Outside attorney advising on HIPAA, state advocacy licensing, and engagement structure.
Reviews clinical documentation and validates medical-necessity arguments before filing.
Former carrier-side claims operator. Provides perspective on how the other side reads our appeals.
Want to join the team?
We're hiring intake coordinators, appeals specialists, and a healthcare-compliance counsel-of-record. Email careers@apellica.com.
Or send us a denial