Summary
Overview
Work History
Education
Skills
Affiliations
References
Timeline
Generic

Cheryl Horency

Lagrange,OH

Summary

Goal-driven analyst with extensive knowledge in claims and complaints/appeals. Able to work independently or with a group, and collaborate with others. Ability to uncover trends, provide feedback. and training. Several years of experience in industry.

Overview

27
27
years of professional experience

Work History

Complaint and Appeal Aalyst

Aetna
09.2010 - Current

Handle all member complaints and appeals in a timely manner

Handled Plan Sponsor Appeals

Knowledge in Self-insured and Fully-insured products

Assist team lead with various duties (reports, audits, work groups).

Assist team members with questions regarding appeals

Trained new hire analysts/audited work

Provide refresher trainings

Provide quality trends/feedback during team meetings

Worked on various workgroups, root cause analysis, trends, Complaint and Appeal audit scoring workgroup

Sr. Customer Service Represenative

Aetna
Akron, Ohio
03.1998 - 09.2010
  • Resolved Member calls and complaints in a timely manner
  • Primary contact person for members of The World Bank and other Plan Sponsors
  • Assisted with call audits/education of team
  • Assisted team lead with reports

Education

High School Diploma -

North Ridgeville High School
North Ridgeville, OH
06-1984

Skills

  • Root Cause Analysis
  • Information Gathering
  • Excellent time management skills
  • Able to work independently or with a group and collaborate with others
  • Exceptional quality
  • Exceptional production
  • Strong communication skills
  • Able to adapt to any changes in daily work environment
  • Deadline Adherence
  • Process Improvements
  • Exceptional organizational skills
  • Able to manage multiple priorities at the same time

Affiliations

Enjoy the outdoors, golf and spending time with family and friends

References

References available upon request.

Timeline

Complaint and Appeal Aalyst

Aetna
09.2010 - Current

Sr. Customer Service Represenative

Aetna
03.1998 - 09.2010

High School Diploma -

North Ridgeville High School

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Cheryl Horency