Raytosha Stanley
Crandall
Summary
Detail-oriented customer service professional with extensive experience in claims support and data analysis. Proven track record of resolving complex inquiries and enhancing claims processing accuracy, while maintaining compliance with strict documentation standards. Recognized for strong problem-solving abilities and effective collaboration with diverse stakeholders.
Overview
11
11
years of professional experience
Work History
911 Emergency Dispatcher
City of Arlington, Texas
Arlington
07.2024 - 08.2025
- Analyze emergency and non-emergency calls to determine appropriate response while maintaining accuracy under strict time constraints.
- Enter and verify critical information into computer systems with a high level of accuracy.
- Coordinate with police, fire, and EMS personnel to ensure timely response and resolution.
- Prioritize multiple requests simultaneously while maintaining compliance with established procedures.
- Maintain confidential information in accordance with department policies.
Senior Customer Analyst – Pre-Authorization
Blue Cross Blue Shield of Texas
Richardson
01.2021 - 06.2024
- Reviewed documentation to determine authorization status, ensuring compliance with company policies and healthcare guidelines to support accurate decision-making.
- Researched and resolved complex member and provider inquiries related to medical authorizations, claims, billing, and coverage.
- Investigated claim denials and billing discrepancies by analyzing supporting documentation and system data, resolving issues to enhance claims processing accuracy.
- Collaborated with providers, members, and internal departments to resolve issues efficiently and improve customer satisfaction.
- Utilized analytical and problem-solving skills to identify appropriate resolutions for complex customer situations.
- Maintained accurate documentation of customer interactions and case outcomes, contributing to improved tracking and resolution of customer inquiries.
- Resolves complex customer inquiries by reviewing account details, applying company guidelines, and documenting outcomes accurately to support compliance requirements.
Registration Clerk / Customer Service Representative
SiriusXM
02.2017 - 11.2020
- Processed customer registrations while verifying data accuracy and completeness.
- Maintained customer records using multiple database systems and Microsoft Office applications.
- Researched and resolved customer inquiries regarding account status and documentation requirements.
- Trained new employees on departmental procedures, documentation standards, and workflow processes.
- Assisted with maintaining efficient operational processes through accurate recordkeeping and attention to detail.
Data Entry Specialist
Nissan Motors Acceptance Corporation
06.2014 - 10.2016
- Maintained detailed records of customer payments, deductions, and processing activities to support account reconciliation and reporting.
- Verified documentation and reconciled data prior to entry into company systems.
- Organized, scanned, and managed electronic records while ensuring document accuracy and accessibility.
- Identified and corrected data discrepancies to maintain database integrity.
Education
High School Diploma -
Lincoln High School
Skills
- Deduction & Claims Resolution
- Customer Account Research
- Billing & Payment Inquiries
- Data Analysis & Reporting
- Data Entry & Record Management
- Compliance & Documentation
- Problem Solving
- Analytical Thinking
- Quality Assurance
- Written & Verbal Communication
- Data Entry Systems
- Claims & Billing Support
- Analytical Problem Solving
- Multi-Tasking in Fast-Paced Environments
Timeline
911 Emergency Dispatcher
City of Arlington, Texas
07.2024 - 08.2025
Senior Customer Analyst – Pre-Authorization
Blue Cross Blue Shield of Texas
01.2021 - 06.2024
Registration Clerk / Customer Service Representative
SiriusXM
02.2017 - 11.2020
Data Entry Specialist
Nissan Motors Acceptance Corporation
06.2014 - 10.2016
High School Diploma -
Lincoln High School