Summary
Overview
Work History
Education
Skills
Timeline
Generic

RaeLynn Gushi

Honolulu

Summary

Dynamic professional with a proven track record at CVS Health, excelling in customer service and team leadership. Skilled in implementing efficient workflows and enhancing member satisfaction. Proficient in MS Office and adjudication platforms, with a strong commitment to fostering a culture of excellence and driving team productivity through effective communication and problem-solving.

Overview

25
25
years of professional experience

Work History

Supervisor - Member Operations, Hawaii

CVS Health
11.2015 - Current
  • Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
  • Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
  • Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
  • Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.

Gym Attendant

City and County of Hawaii
06.2000 - Current


  • Summer Fun and Teens program
  • The Honolulu Department of Parks and Recreation (DPR) aims to accommodate approximately 10,000 keiki and teens through this remarkable program each year.
  • Program provides the chance to develop essential job skills like: teamwork, leadership, conflict resolution, childcare experience, and problem-solving all while connecting to your community and creating life-long memories!
  • Currently employed on call and when needed.

Customer Care Representative

Xerox, ACS
06.2010 - 11.2015
  • Helped large volume of QEXA members and provider services every day with positive attitude and focus on customer satisfaction.
  • Managed high call volume with exceptional professionalism and efficiency.
  • Responded to member and provider needs through competent customer service and prompt problem-solving.
  • Assisted call-in members with questions and enrollment and provider claims.

Paraprofessional Educator

Waianae Elementary School
09.2000 - 06.2010
  • Provided support during classes, group lessons, and classroom activities.
  • Kept classrooms clean, neat, and properly sanitized for student health and classroom efficiency.
  • Aided teachers in coordinating extracurricular events and field trips, providing enriching experiences beyond the traditional classroom setting.
  • Facilitated seamless transitions between learning activities by efficiently organizing supplies and preparing spaces for optimal productivity.

Education

High School Diploma -

Moanalua High School
Honolulu, HI

No Degree - Elementary Education

University of Hawaii At Manoa
Honolulu, HI

Skills

  • Customer service oriented to ensure high level of satisfaction
  • Reliable, Accountable, Dependable
  • Handle every escalation urgently by resolving timely and maintaining open communication with the leadership and account managers
  • MS resources with Excel, Word, Outlook, PowerPoint, SalesForce, PeopleSafe/Compass, AS400, MedForce-paper claims
  • Delegated to oversee 2023 - 2025 HMSA Akamai OEP and Formulary disruption outbound campaigns
  • Champion for NPS/OSAT, Recognition Committee, Member Experience, Five9 & Compass roll out

Timeline

Supervisor - Member Operations, Hawaii

CVS Health
11.2015 - Current

Customer Care Representative

Xerox, ACS
06.2010 - 11.2015

Paraprofessional Educator

Waianae Elementary School
09.2000 - 06.2010

Gym Attendant

City and County of Hawaii
06.2000 - Current

High School Diploma -

Moanalua High School

No Degree - Elementary Education

University of Hawaii At Manoa

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