conf.exe is a process belonging to Microsoft Netmeeting and allows for the configuration and initialization of this Internet chat facility. This is a non-essential process.
Disabling or enabling it is down to user preference.
Non-system processes like conf.exe originate from software you installed on your system. Since most applications store data in your system's registry, it is likely that your registry has suffered fragmentation and accumulated invalid entries which can affect your PC's performance. It is recommended that you check your registry to identify slowdown issues