Raye Ashley
Summary
A creative professional with a diverse background and strong communication skills, I have gained valuable experience in various industries. Expertise in compliance and exceeding client expectations has enabled effective account management and delivery of exceptional results. Seeking an opportunity to leverage well-rounded abilities and contribute to the success of your company.
Overview
5
5
years of professional experience
Work History
Risk Specialist
The Farmer's Dog
04.2023 - Current
- Oversee and manage high-value customer accounts, ensuring precise data integrity and seamless operational flow.
- Strategically communicate and adapt to frequently changing company policies, proactively addressing complex client needs across various communication channels.
- Drive client engagement, efficiently resolving inquiries while maintaining a high standard of professionalism and client satisfaction.
- Handled claims according to internal risk management policies, keeping liability minimized by leveraging expertise and available tools.
Claims Representative
Clear Spring Healthcare
08.2022 - 03.2023
- Assist members navigate and update their Medicare sponsored prescription drug coverage and medical and hospital information
- Provided in network options from website to enhance member experience and consultation process
- Handled sensitive and confidential information with discretion to maintain department security
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices
Help Desk Coordinator
Titan Technologies
09.2020 - 06.2022
- Regarded computer software and hardware operation resolved problems
- Aided on online enrollment to virtual public school FLVS, Florida Virtual School; Flex, Full Time & Global
- Provided information about options within free online schooling and how to proceed within program
- Aided in connecting contacts to teachers, administrators and other requested channels of communication outside of FLVS
- Escalation of issues
Benefits Specialist
Department of Employment Services
12.2020 - 04.2022
- Assisted in callers weekly request of unemployment benefits from Department of Employment Opportunities
- Assist callers with submitting applications and appeals
- Aid in understanding of denied benefits or inability to continue
- Assisted in resolving complex benefits issues, leading to increased employee satisfaction and retention rates.
- Educated managers on current benefit offerings and policies, enabling them to better assist their teams with questions or concerns.
- Processed employee life event changes, ensuring timely updates to benefits and coverage for qualifying events such as marriage or the birth of a child.
Salesperson
Art Corner, Walt Disney World
01.2020 - 08.2020
- Sales based independent position in both on property resorts and parks
- Collaboration with guests to create optimally priced and attractive image based on interests, favorite characters and occasions such as wedding engagements and proposals
- Used materials such as pens and ink, watercolors, charcoal, oil, or computer software to create artwork
- Framed and matted artwork for display or sale
- Boosted sales by consistently engaging with customers and addressing their needs effectively.
Education
Bachelor Of Arts (B.A.) - Communication
Florida Atlantic University
Boca Raton, FL12.2022
Skills
- Account Portfolio Administration
- Issue and Complaint Resolution
- Efficient and Detail-Oriented
- Comprehensive Product Understanding
- Client Retention Strategies
- Sales Expertise
- Enterprise risk management
- Compliance monitoring
- Risk mitigation strategies
Timeline
Risk Specialist
The Farmer's Dog
04.2023 - Current
Claims Representative
Clear Spring Healthcare
08.2022 - 03.2023
Benefits Specialist
Department of Employment Services
12.2020 - 04.2022
Help Desk Coordinator
Titan Technologies
09.2020 - 06.2022
Salesperson
Art Corner, Walt Disney World
01.2020 - 08.2020
Bachelor Of Arts (B.A.) - Communication
Florida Atlantic University
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