Summary
Overview
Work History
Education
Skills
Timeline
Generic

Angela Green

Pompano Beach

Summary

Detail-oriented Insurance Adjuster with specialized experience in supplemental health claims administration and adjudication. Proven expertise in evaluating policyholder submissions, verifying coverage eligibility, interpreting complex insurance policies, and processing benefits in compliance with insurer guidelines and HIPAA regulations. Skilled in coordinating with medical providers, resolving claims accurately and efficiently, and delivering empathetic, customer-focused service in high-volume environments. Successfully managed caseloads of up to 150 active claims simultaneously while prioritizing newly generated claims to ensure coverage determinations were completed within 7 business days. Recognized for maintaining accuracy, regulatory compliance, and operational efficiency under demanding workloads. Proficient in claims management systems, policy analysis, and insurer protocols, with authorization to work in the United States for any employer.

Overview

5
5
years of professional experience

Work History

Claims Adjuster

Combined Insurance
Pompano Beach, FL
01.2025 - Current
  • Reviewed policy terms and conditions to ensure accurate interpretation and application during the claims process
  • Managed a caseload of 150+ claims simultaneously while meeting strict deadlines
  • Utilized computer software systems to document claim activities, update status reports, and generate correspondence
  • Adhered to industry regulations, company policies, and ethical standards throughout the entire claims handling process

Short Term Disability Case Manager

Unum
Pompano Beach, FL
11.2021 - 01.2025
  • Assist insured claimants with processing claims.
  • Assist claimants, providers, and clients with problems or questions regarding claims.
  • Examined and investigated medical records to determine approval of benefits.
  • Processed claims for payment.
  • Collaborated with team fellow team members to manage large volume of claims
  • Drafted correspondence to relay claim determination to claimant and employer.

Senior Case Manager

Choice Home Warranty
Sunrise, FL
12.2020 - 10.2021
  • Handle between 25-30 escalated appeals per day
  • Create positive customer experience
  • Facilitate and evaluate options to meet clients repair needs

Education

Diploma -

Blanche Ely High School
Pompano Beach, FL
06-2011

Associate of Science - Nursing

HCI College
Fort Lauderdale, FL
02-2028

Skills

  • Conflict resolution
  • Microsoft Suite
  • Time management
  • Empathy and Customer Service
  • Policy interpretation
  • Data entry - Data entry experience (11-15 years)
  • Regulatory compliance
  • Critical thinking
  • Risk management - Risk management experience (3-5 years)
  • Disability claims process

Timeline

Claims Adjuster

Combined Insurance
01.2025 - Current

Short Term Disability Case Manager

Unum
11.2021 - 01.2025

Senior Case Manager

Choice Home Warranty
12.2020 - 10.2021

Diploma -

Blanche Ely High School

Associate of Science - Nursing

HCI College