Angeleine M. Furlong

• I manage the office, respond to customer calls, escalate customer issues to business partners, and assist in managing projects
• Help roll out the Secretary’s initiatives
• Develop relationships with the community and support the mission of HUD, such as Homeword, United Way and several other partners
• Represent HUD program officials, local leaders- mayor Collins, state legislators- visit with Daines and Testers staff, Participate in Community Recourse meetings, Fuse programming, and communicate with the Department of Commerce, local extension office of MSU, table at events to share HUD resources
• Research, analyze, evaluate, and report on CRM system-generated data, narrative information from community resource and Fuse meetings, share trends in community forums with State Director,
• Research housing community and demographic profiles in the areas we convene to understand local housing trends,
• Pull CRM data and analyze and evaluate for trends in housing and customer calls.
• Serve as the central point of contact for consumer and industry groups including legislative inquiries and landlords.
• Share resources in technical assistance meetings on HUD programs for prospective customers including United way resource meetings and other partner/community meetings.

Working with a variety of community-based housing, education or service programs (e.g., community-based engagements, participate in projects on housing and community development) I have met this by the following:

• I became a section 8 approved landlord to assist my daughter with a disability have safe clean housing after we found that a home she lived in had meth in it
• Work with Helena Housing Authority for special approval to be a landlord for disabled daughters Voucher
• have passed all our housing inspections and made improvement with in the required time frames.
• Work with Helena Housing Authority on any issues with rents, tenant, or fund payment issues
• assisted our daughter with all her recertification for the last 7 years
• Developed efficient systems for tracking property expenses, enabling accurate budgeting and financial reporting.
• Monitored rent collections and resolved tenant disputes quickly and effectively.
• Improved tenant satisfaction by promptly addressing maintenance requests and resolving issues efficiently.

• I am a licensed insurance agent
• I sell and service a large sector of nonprofit organizations insurance and other business insurance
• The best part about my job is working with people
• I answer phones, help the client find the right resources, educate them on options, risks, and help them identify their needs to insure their commercial business
• I work with multiple carriers to market the client’s insurance needs
• Obtained the designation ACSR
• Act as a liaison between carriers and clients, the public and insurance commissioner.
• Perform annual project review and comparison of coverage to risk, analyzing for any gaps or overlapping coverages to minimize risk for the client.
• Research clients risks and risk potential analyzing coverage data and system data on loss history to propose solutions for coverage variances.
• Organize meetings with clients, producers and carriers to review trends in data.
• Serve as the central point of contact for consumer and industry groups like carries, brokers, insurance commissioner
• Performed networking including nonprofits in the community have worked with nonprofits that focus on housing in our communities for years, insure Haven, Family Promise, United Way, Friendship Center, Foodshare to name a few.
• 
  

• I analyze various reports, loan files, and department work to ensure that all regulatory and compliance and internal processes are followed
• Write reports, organize audit committee meetings, present findings to leadership and the audit committee, assist leadership to implement changes to mitigate risk

• I review refunds received by providers and members, determine if claims have processing errors by checking pricing, pay to affiliations/Tax ID/NPI information, review claims entry and processing according to CMS guidelines and benefit outlines; determining if the refund is valid
• I adjust the claims accordingly and apply refunds
• I prepare deposits, log refunds, file for abandon property, reissue checks, return funds sent in error, and collect past due funds
• I assist providers with complex claims questions on refund/reversals that are on the provider payment remits
• Using computer software, dev applications, prepare data driven analysis of practices and proposals, use the data analyses to set goals on processing provider overpayments

• I was assigned to high profile self-funded groups to manage their accounts and supervise the processing of their medical claims
• I validate benefits, system coding, and claims processing
• I pull system data, evolute and analyze to identify trends in processing errors, and correct data if errors identified. by pulling data and analyzing pricing, contract benefits and regulatory requirements then create summaries for partners on the findings and financial corrections
• I mentor and train new hires, giving them all the tools they need to be successful in the position
• I created desk level resource documentation for the position
• I manage a vast amount of work and have a top service rating
• I resolve complex claims issues for our customers
• evaluation of system-generated data to identify trends and forecasting of medical services and trends
• maintaining working relationships with the HR departments of my assigned clients including joining them for their open enrolment meetings with employees, and claims review, reporting, data analysis and forecasting of their claims and utilization trends

• I recovered subrogation dollars for the company, working with self funded groups, marketing executives, and attorneys to recoup dollars due to third party injuries including: work comp, motor vehicle, premises and restitution
• I assist members to understand the third-party process
• I trained and mentored new employees into the subrogation department
• I organized, oversaw, and mentored coworkers
• I prepare reports for high profile self funded groups, consulted with groups to review cases
• I prepare claims summaries, processed medical claims, adjusted claims, deny claims, review edits, process refunds, determine when recoveries can be made and prepare requests for our legal team to review

• I audited claims and customer service verifying pricing and processing per the provider and member benefit contracts
• Used claims accuracy initiative criteria, claims check, applied medical policy criteria, modifier/assistance surgeon policies and correct coding criteria while reviewing the correct processing of the claims
• I have actively participated in three audit reviews from the regulatory agencies communicating well with the auditors
• I have discovered how great I am at balancing a variety of work and deadlines; it is challenging, rewarding, and fun

• I advocate for our customers, helped supply them with options and identifying what their best action plan is in relation to coverage
• I gathered information from members to update their accounts
• I an asset as a mentor on the team, analyze medical claims to identify processing errors, provider database issues and complex benefit questions
• I helped members understand their benefits, asked clarifying questions to ensure understanding

• Process provider pricing contracts
• I quality checked all the data for the database maintenance personnel entry data; giving feedback to team members when needed
• I fostered a great relationship with several providers in the eastern service area
• I processed all the eastern provider contracts; assisted the providers with contract questions, office billing issues, claims issues, and general provider data
• Educated providers on billing standards such as modifier use, claims accuracy and assistant surgeon reimbursement policies and practices
• I verified provider directory information, and payment information
• I was readily available to assist customer service with inquiries about provider data, setup and claims processing/pricing issues

• I was an associate trainer in customer service
• I participated as the HR star point coordinating and implementing spreadsheets to the service team tracking individual performance
• I participated in the coordination of benefits work group giving a formal recommendation to leaders and coaches
• I built team skills by communicating during team meetings, and team building exercises
• I developed a close working relationship with several providers and customers
• I stayed organized, accepted feedback for improvement, and met goals and technical standards
• I met and exceeded all company timeliness and accuracy standards