ANGELA HORTON
Ashland,KY
Summary
Detail-oriented claims representative with over 20 years of experience in claims processing and quality assurance. Proven ability to ensure timely and accurate claims resolution through effective communication and problem-solving skills. Demonstrated expertise in managing workloads while maintaining high standards of accuracy and compliance. Committed to enhancing customer satisfaction and driving operational excellence in claims management.
Overview
33
33
years of professional experience
Work History
SR. CLAIMS REP.
UnitedHealthcare
Ashland, KY
01.2001 - Current
- Executed data entry to accurately record claim status information in computer system.
- Processed and paid claims within designated authority, ensuring timely resolution.
- Efficiently managed workloads by prioritizing tasks based on urgency and importance.
- Reviewed and resolved open claims and change orders to ascertain entitlement for additional payments.
- Acquired comprehensive knowledge of company policies and procedures regarding claim processing.
- Engaged in quality assurance activities, including peer reviews and audits to enhance compliance.
MEMORIAL COUNSELOR
Sunset Memorial PARK
Beckley, West Virginia
04.1998 - 01.2001
- Facilitated individual counseling sessions to support clients' emotional and psychological well-being.
- Delivered crisis intervention services for clients in immediate distress.
- Educated clients on effective coping strategies for stress and anxiety management.
- Ensured confidentiality and maintained ethical standards in all client interactions.
- Employed evidence-based practices to inform therapeutic interventions and assessments.
MEMORIAL COUNSELOR
GREENHILLS MEMORY GARDENS
CLAYPOOL HILL, VA
11.1992 - 09.1995
- Facilitated individual counseling sessions to address emotional and psychological needs of clients.
- Delivered crisis intervention services for clients experiencing immediate distress.
- Coordinated resources and referrals to connect clients with essential community support services.
- Educated clients on effective coping strategies to manage stress and anxiety levels.
- Maintained safe, supportive environments that fostered open communication and personal growth.
- Pursued ongoing professional development to enhance knowledge of counseling techniques.
Education
Associate of Arts - Business and Managerial Economics
SWVCC
Cedar Bluff, VA05-1987
High School Diploma -
RICHLANDS HIGH SCHOOL
Richlands, VA06-1980
Skills
- Claims processing and data entry
- Quality assurance and compliance
- Change order resolution
- Customer relationship management
- Problem solving
- Effective communication
- Attention to detail
- Time management
- Workload prioritization
- Claims resolution and investigation
- High-exposure claims expertise
- Decision making
- Documentation review and research
- Flexible scheduling
- Insurance claims assessment
- Team collaboration and support
- Reliability and dependability
- Computer proficiency
- Active listening skills
- Policy review and analysis
Timeline
SR. CLAIMS REP.
UnitedHealthcare
01.2001 - Current
MEMORIAL COUNSELOR
Sunset Memorial PARK
04.1998 - 01.2001
MEMORIAL COUNSELOR
GREENHILLS MEMORY GARDENS
11.1992 - 09.1995
Associate of Arts - Business and Managerial Economics
SWVCC
High School Diploma -
RICHLANDS HIGH SCHOOL