Ashley Price

• Reduced internal theft incidents significantly by designing and implementing effective loss prevention measures within the organization.
• Facilitated open communication channels between interdepartmental teams that led to increased collaboration on investigations.
• Maintained an exemplary clearance rate by effectively prioritizing caseloads based on urgency levels.
• Strengthened relationships with external partners by consistently providing valuable assistance during joint investigations.
• Stayed current with industry trends and emerging threats by attending professional development workshops and conferences regularly.
• Demonstrated adaptability and resourcefulness by effectively handling a diverse range of case types, leading to successful outcomes.
• Safeguarded company assets through proactive fraud detection efforts and timely response to security incidents.
• Received, analyzed and responded to less complex allegations of misconduct.
• Determined case direction based on reviews of wide-ranging information.
• Managed sensitive investigations with professionalism and discretion, maintaining confidentiality of all involved parties.
• Conducted confidential investigations of potential insurance law violations.
• Obtained evidence through direct records reviews and conducted interviews with complainants, suspects and policyholders.
• Collected, analyzed and interpreted information, documentation, and physical evidence associated with investigations.
• Carefully documented statements, observations, and evidentiary materials.
• Boosted productivity by training and guiding new employees during onboarding. Group size approximately 2-5 people.

• Enhanced claim resolution times by streamlining communication between clients and insurance carriers.
• Reduced overall claim processing time by implementing efficient tracking and documentation practices.
• Ensured timely submission of claims by closely monitoring deadlines, resulting in improved client satisfaction.
• Improved accuracy of processed claims through meticulous review and verification of all supporting documents.
• Provided exceptional customer service to policyholders during claims processing, maintaining professional and empathetic approach.
• Implemented fraud detection measures that led to identification of suspicious claims activity, protecting company assets.
• Facilitated smooth claim progression by liaising with medical providers, law enforcement agencies, and other relevant parties.

• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
• Responded to customer calls and emails to answer questions about products and services.
• Assisted call-in customers with questions and orders.
• Provided primary customer support to internal and external customers.
• Completed data entry to record call notes, suggestions and questions.
• Managed payments, updated account balances and discussed subsequent payments with customers to keep accounts on track.
• Coordinated solutions for high volume of customer inquiries per day while meeting and exceeding performance quotas.
• Handled customer inquiries and suggestions courteously and professionally.
• Responded to customer requests for products, services, and company information.
• Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
• Communicated with clients regarding account services, statements, and balances.
• Developed customer service policies and procedures to meet and exceed industry service standards.

Full Time - 40 hours p/w

• Followed up with customers on unresolved issues.
• Reviewed new files to determine current status of injury claim and to develop plan of action.
• Conducted full claim investigations and reported updates and legal actions.
• Reported policy changes and company conditions affecting customer satisfaction.
• Escalated files with significant indemnity exposure to supervisor for further investigation.
• Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
• Conducted day-to-day administrative tasks to maintain information files and process paperwork.
• Examined claims forms and other records to determine insurance coverage.
• Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
• Researched claims and incident information to deliver solutions and resolve problems.
• Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
• Resolved complex, severe exposure claims using high service oriented file handling.
• Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
• Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
• Answered customer telephone calls promptly to avoid on-hold wait times.
• Answered constant flow of customer calls with minimal wait times.
• Offered advice and assistance to customers, paying attention to special needs or wants.
• Responded to customer requests for products, services and company information.
• Effective liaison between customers and internal departments.

Casual - 40 hours p/w

• Educated clients on account services and resolved client inquiries regarding statement information and account balances.
• Initiated investigations into complex or sensitive complaints, identifying solutions swiftly and to customer satisfaction.
• Maintained accurate and current customer account data with manual forms processing and digital information updates.
• Provided primary customer support to internal and external customers.
• Coordinated solutions for high volume of customer inquiries per day while meeting and exceeding performance quotas.
• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
• Assisted call-in customers with questions and orders.
• Completed data entry to record call notes, suggestions and questions.
• Answered average of 30-50 calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.
• Increased efficiency and team productivity by promoting operational best practices.