Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ashley Louze

Wrenshall,MN

Summary

Dynamic and results-oriented professional with a proven track record at Optum, specializing in claims investigation and exceptional customer service. Leveraged assertiveness and problem-solving skills to enhance claim resolution efficiency and customer satisfaction. Demonstrated ability to manage high-volume workloads, achieving significant improvements in process streamlining and interdepartmental communication.

Sales professional with solid track record in driving revenue growth and enhancing customer satisfaction. Adept at building strong client relationships, leveraging product knowledge, and implementing effective sales strategies. Strong focus on teamwork and adaptability ensures consistent achievement of goals in dynamic environments. Skilled in communication, problem-solving, and time management.

Experienced cleaning professional prepared to maintain high standards in facilities management. Strong focus on team collaboration and delivering results. Reliable and adaptable with changing needs. Skilled in sanitation, floor care, and basic maintenance tasks. Positive attitude and strong work ethic ensure clean and safe environment.

Retail worker with proven track record in delivering high-quality customer service and maintaining smooth operations. Known for reliability and adaptability in dynamic environments, contributing effectively to team goals. Excels in cash handling, customer interaction, and problem-solving with focus on achieving results.

Overview

14
14
years of professional experience

Work History

Claims Representative Associate

Optum
09.2020 - Current
  • Worked closely with medical providers to ensure accurate billing and payment processes for healthcare-related claims.
  • Improved claim resolution times by efficiently processing and investigating claims.
  • Delivered informative presentations during team meetings, sharing knowledge about emerging trends within the insurance industry.
  • Enhanced customer satisfaction with prompt and accurate claim settlements.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Streamlined communication between departments to expedite the claims process.
  • Utilized advanced software tools to manage large caseloads effectively.
  • Reduced loss ratios through diligent investigation efforts aimed at identifying potential fraud or misrepresentation cases.
  • Increased efficiency by automating routine tasks using proprietary software systems.
  • Provided excellent customer service by addressing concerns and answering questions promptly and professionally.
  • Reviewed policy documents to determine appropriate coverage levels for each individual case, ensuring fairness in settlement decisions.
  • Checked documentation for accuracy and validity on updated systems.

Claims Representative

Mary Kraft Staffing and Associates
04.2020 - 09.2020
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Followed up with customers on unresolved issues.
  • Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
  • Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.

This was a contract to Optum, was offered a position in Optum and took it

Janitor

Consolidated Contractors
01.2020 - 03.2020
  • Maintained clean and comfortable environments in commercial buildings by vacuuming, cleaning windows, and dusting.
  • Improved facility cleanliness by performing daily maintenance tasks, such as sweeping, mopping, and vacuuming.
  • Reduced the spread of germs by sanitizing high-touch surfaces such as doorknobs and handrails.
  • Maintained a positive and professional demeanor while interacting with building occupants, promoting a respectful work environment.
  • Supported waste management efforts by collecting trash, recycling materials, and disposing of them properly.
  • Inspected facility and grounds and picked up trash or other debris impacting appearance or movement flows between spaces.
  • Collaborated with other janitorial staff to complete large-scale cleaning projects efficiently.
  • Maintained floor cleaning and waxing equipment.
  • Provided backup support for other janitorial team members during absences or busy periods, ensuring seamless service.
  • Upheld company policies regarding health codes, safety regulations, hazardous materials disposal protocols while completing assigned tasks diligently.
  • Responded immediately to calls from personnel to clean up spills and wet floors.
  • Facilitated smooth communication between janitorial staff and other departments, addressing concerns promptly and professionally.
  • Assisted in event setup and teardown, ensuring spaces were clean and ready for use before and after events.
  • Emptied trash cans and recycling bins to keep building clean and free of germs.
  • Replaced and refilled paper towel and toilet paper dispensers for users convenience.
  • Handled spills, accidents and other cleaning emergencies to maintain cleanliness standards throughout assigned shift.
  • Followed safety protocols and safe use of protective gear to prevent injury to self and others.
  • Moved furniture for cleaning and set up for special events.
  • Ran variety of cleaning machines such as floor machines designed to strip, wax, extract, and top scrub floors and carpets.
  • Reported vandalism or other damage to property to supervisor.
  • Emptied waste paper and other trash from premises and moved to appropriate receptacles.
  • Maintained cleanliness of restrooms by washing down and properly sanitizing walls, floors and toilets.
  • Kept public pathways clear of safety hazards and spills with regular checks and attention.
  • Used vacuum and shampooers to clean carpeted areas in offices, lobbies and corridors.
  • Operated buffers and burnishers to clean and polish floors.
  • Used organic-based chemicals to disinfect floors, counters and furniture.
  • Used power scrubbing and waxing machines to scrub and polish floors.
  • Identified repair needs and major maintenance concerns, and escalated issues to management.
  • Followed safety standards and established SOPs when handling, mixing and storing hazardous chemicals.

Cook

County Jail
10.2018 - 01.2020
  • Maintained clean and organized work areas at all times to bring safety and quality to food preparation process.
  • Maintained a clean and sanitary workspace, ensuring compliance with health and safety regulations.
  • Prepared meals efficiently under time constraints for timely service during peak hours.
  • Demonstrated strong multitasking skills, managing multiple orders simultaneously without sacrificing quality or presentation.
  • Prepared food items in compliance with recipes and portioning control guidelines.
  • Set up and prepared cooking supplies and workstations during opening and closing to maximize productivity.
  • Coordinated checklists to keep kitchen clean, stocked and sanitary.
  • Monitored food quality and presentation to maintain high standards.
  • Prepared and served various food items in fast-paced [Type] environment.
  • Managed opening and closing shift kitchen tasks.
  • Followed strict standards for food handling and safety, minimizing risks to customers.
  • Kept kitchen clean and organized by performing daily maintenance tasks.
  • Maintained food safety and sanitation standards.
  • Fostered culture of teamwork and communication within kitchen, leading to improved efficiency.

I was layed off as we lost the contract for the care facility that we delivered too. Senior staff were kept and I was let go. My management told me they would hire me again and were sad they had to let me go

Mental Health Worker

Safe Transitions
11.2017 - 10.2019
  • Provided crisis intervention and de-escalation techniques, resulting in increased safety for both patients and staff.
  • Promoted a positive therapeutic environment through clear communication and consistent reinforcement of established boundaries within treatment settings.
  • Documented client progress in confidential files.
  • Monitored patient progress through regular assessments and documentation, ensuring accurate tracking of treatment effectiveness.
  • Developed rapport with patients by actively listening and demonstrating empathy during one-on-one sessions, fostering trust and open communication.
  • Implemented crisis intervention plans to support client safety.
  • Maintained detailed records of patient interactions, supporting accurate diagnoses and continuity of care.
  • Collaborated with interdisciplinary teams to develop comprehensive treatment plans for patients, leading to improved mental health outcomes.
  • Facilitated successful discharge planning by collaborating with community resources, ensuring seamless transitions for patients returning home or entering outside facilities.
  • Monitored client progress and provided feedback to families and treatment team members.
  • Developed and implemented activities to help clients develop social and independent living skills.
  • Collaborated with medical and clinical personnel to coordinate and implement client services.
  • Advocated for patient rights and well-being by addressing concerns with appropriate supervisory staff, ensuring that all patients received quality care.
  • Facilitated support groups for clients to discuss issues related to mental health.
  • Provided case management services to monitor client access to resources and services.
  • Coordinated care between various medical professionals involved in the treatment process ensuring effective collaboration towards improved patient outcomes.
  • Provided clients with recommendations to community resources.
  • Guided clients in effective therapeutic exercises integrated from Cognitive Behavior Therapy and Dialectical Behavior Therapy (DBT).
  • Consulted with other staff members regarding treatment plans as deemed appropriate by team leader.
  • Worked collaboratively with other mental health professionals to provide consistent care and minimize diversion.
  • Adhered to ethical and legal standards for confidentiality, protecting clients' privacy.
  • Attended trainings to participate in regular supervision and continued education to maintain professional competence and ethical standards.
  • Observed and monitored client behavior and responses to treatment.
  • Conducted crisis interventions to respond to clients in crisis, assess immediate needs and provide support and resources.
  • Fostered safe and supportive living environment, conducting regular safety checks and updates.
  • Enhanced team collaboration, sharing insights and feedback in professional development sessions.

Sales Associate

L&M Fleet Supply
04.2014 - 11.2017
  • Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
  • Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
  • Built relationships with customers to encourage repeat business.
  • Managed returns, exchanges and refunds in accordance with store policy.
  • Helped customers locate products and checked store system for merchandise at other sites.
  • Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
  • Provided positive first impressions to welcome existing, new, and potential customers.
  • Engaged with customers to build rapport and loyalty.
  • Boosted customer satisfaction levels through exceptional service, addressing concerns promptly, and providing a welcoming store environment.
  • Solved customer challenges by offering relevant products and services.
  • Assisted in training new staff members on company policies, product information, and sales techniques for a seamless onboarding experience.
  • Minimized wait times for customers during peak hours, maintaining a high level of customer satisfaction.
  • Enhanced team productivity by fostering a positive work environment and providing support to colleagues as needed.
  • Managed conflict resolution with dissatisfied customers professionally, resulting in improved customer retention rates.
  • Participated in team meetings and training sessions regularly for continuous professional development within the retail industry.
  • Resolved customer complaints with patience and understanding, restoring customer confidence.
  • Performed cash, card, and check transactions to complete customer purchases.
  • Monitored customers for signs of security concerns and escalated issues to management.
  • Developed strong rapport with customers and created positive impression of business.
  • Used in-store system to locate inventory and place special orders for customers.
  • Delivered energetic responses to customers in-store and by telephone, going above and beyond to serve needs.
  • Volunteered for extra shifts during holidays and other busy periods to alleviate staffing shortages.
  • Managed efficient cash register operations.
  • Provided training to new staff on sales techniques and store procedures, ensuring consistent customer service experience.

Cashier

Little Store
07.2010 - 03.2014
  • Greeted customers entering store and responded promptly to customer needs.
  • Welcomed customers and helped determine their needs.
  • Worked flexible schedule and extra shifts to meet business needs.
  • Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
  • Built relationships with customers to encourage repeat business.
  • Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
  • Helped customers complete purchases, locate items, and join reward programs.
  • Restocked and organized merchandise in front lanes.
  • Assisted customers with returns, refunds and resolving transaction issues.
  • Counted money in cash drawers at beginning and end of shifts to maintain accuracy.
  • Stocked, tagged and displayed merchandise as required.
  • Handled multiple payment methods securely, minimizing discrepancies and potential losses.
  • Answered questions about store policies and addressed customer concerns.
  • Enhanced customer satisfaction by providing efficient and accurate cash transactions.
  • Contributed to store success by maintaining high standards of cleanliness throughout the facility.
  • Addressed customer needs and made product recommendations to increase sales.
  • Mentored new employees on cashier duties and best practices, improving overall staff performance.
  • Collaborated with team members to achieve sales targets and maintain a clean, well-stocked store environment.
  • Adapted quickly to new technologies implemented at POS systems, ensuring seamless transition periods for both staff and customers.
  • Streamlined checkout process for increased efficiency and reduced waiting times.
  • Promoted store promotions and incentive programs to increase overall sales revenue.
  • Facilitated smoother checkout process, trained new employees on POS systems.
  • Facilitated positive shopping experience, greeted customers warmly upon entry.
  • Managed cash drawer accurately, ensuring all transactions balanced at end of day.
  • Maintained up-to-date knowledge of store policies and procedures, ensuring compliance in all transactions.
  • Contributed to clean and safe shopping environment, performed regular sanitation of checkout area.
  • Encouraged customers to make additional purchases by highlighting current deals and keeping lane well-stocked.
  • Maintained current knowledge of store promotions and highlighted sales to customers.
  • Reconciled cash drawer at start and end of each shift, accounting for errors, and resolving discrepancies.
  • Processed refunds and exchanges in accordance with company policy.
  • Responded promptly to requests for assistance, spills and customer inquiries.
  • Worked with floor team and managers to meet wide range of customer needs.
  • Learned duties for various positions and provided backup at key times.
  • Used POS system to enter orders, process payments and issue receipts.
  • Handled cash with high accuracy and took care to check bills for fraud.
  • Operated cash register to record transactions accurately and efficiently.
  • Performed cash, card, and check transactions to complete customer purchases.

Education

High School Diploma -

Barnum Secondary
Barnum, MN
05-2013

Skills

  • Claims investigation
  • Assertiveness
  • Settlement determinations
  • Coverage assessments
  • Problem-solving skills
  • Multi-tasking strength
  • Excellent people skills
  • Reliable and punctual
  • Exceptional customer service
  • Meeting deadlines
  • Restroom care
  • Customer service-focused
  • Dusting proficiency
  • Skilled housekeeper

Timeline

Claims Representative Associate

Optum
09.2020 - Current

Claims Representative

Mary Kraft Staffing and Associates
04.2020 - 09.2020

Janitor

Consolidated Contractors
01.2020 - 03.2020

Cook

County Jail
10.2018 - 01.2020

Mental Health Worker

Safe Transitions
11.2017 - 10.2019

Sales Associate

L&M Fleet Supply
04.2014 - 11.2017

Cashier

Little Store
07.2010 - 03.2014

High School Diploma -

Barnum Secondary
Ashley Louze