Ashley Faleao
Anaheim,CA *************@*****.*** 714-***-****
Highly responsible and motivated individual who is articulate, pleasantly kind and welcoming; with specific interest in contributing my communication abilities while working in an office increasing my customer service and business skills; where I may grow with a company creating longevity in the workplace. SKILLS AND QUALIFICATIONS
● Microsoft Teams, PowerPoint, MAC Book,Excel Sheets and Adobe
● Common use of WeChat,Intercom and Gmail.
● Ability to communicate and collaborate with diverse audiences.
● Recognized for being highly reliable, and always on time.
● Trainable with the ability to understand new tasks quickly and contribute to a team.
● Implement problem solving and critical thinking skills.
● Relationship marketing through social media including: Instagram, Facebook, Snapchat and Tiktok
● Two years of education learning the Spanish language.
● Four years of customer service.
LEADERSHIP & ASSOCIATIONS
Career Planning
Visual Imagery- ROP- Tustin High School
● Knowledge and basic understanding of resume writing.
● Integrate academic and technical skills for the workplace.
● Develop personal, educational, and career goals.
● Demonstrate creativity and innovation.
● Develop photography skills using digital camera technology and software. Community Service Ambassador
Polynesian Club- Tustin High School, CA
● Served as ambassador to present philanthropy events to community organizations.
● Created awareness of displaced individuals and families, collected and packaged food donations, and fed the homeless.
● Responded with compassion to a restaurant fire, collected pasta from community, and donated contributions to the White House Restaurant.
● Generated non-profit monetary donations through selling Polynesian food to local fairs.
● Budgeted funds sufficiently.
Co-Founder and Student Outreach
Breakfast Club- Tustin High School, CA
Ashley Faleao
Anaheim,CA *************@*****.*** 714-***-****
● Demonstrated perfect attendance and reliability by arriving to campus 1 hour early
● Served breakfast to students who arrived at school early as an incentive to arrive on time, persuading students to work towards positive attendance. ACADEMICS
Licensed Esthetician
Advanced Beauty College- Garden Grove, CA
-Graduated 2023
Skills:
● Eye brow, body waxing
● Facials
● Skin care
● Massages
● Customer Service
● Guest services
● Client consultation
● Took clients for facials, including back facials, brow and body waxing.
● Team player
● Reliable
● Relationship building and management
● Experience with both Hard & Soft wax
● High frequency, Steamer, Hydro Jelly Masks, Enzyme masks, Anti- Aging Treatments.
● Properly Sterilized tools and work stations
High School Diploma
Tustin High School- Tustin, CA
-Graduated in 2017
Accomplishments:
● 3.3 GPA
● College Preparatory Visual Performance
● Visual Imagery ROP
● Track and field
Work Experience
CalOptima Health
Temp position April 2025- Current
Ashley Faleao
Anaheim,CA *************@*****.*** 714-***-**** Credentialing and Quality Assurance
Description:
My roll is to assist the credentialing team. I am given excel sheets weekly with a list of physicians & mid-levels. My job is to credential the physicians.
● Make sure all needed documents are inputted into their profile. The profiles are then looked over the credential committee to determine if the physician is accepted to work with CalOptima
● If there are missing documents or need signatures my job is to email the providers. I also assist the credentialing email inbox. We receive multiple initial credentialing requests daily from Providers Relations and my job is to make sure all documents are correct and I create the folder and the record for the physician.
Skills
● Attention to detail
● Ability to learn credentialing software
● Meeting deadlines
● Communication with team
● Data entry
● Healthcare regulations
● Organization and time management
Alignment Health Plan
Temp position November-March 31st 2025
Membership and Eligibility
Description:
My roll is to process Medicare and Medical enrollment applications and determine what benefit plans fit the mbr based on the information they submitted. Ashley Faleao
Anaheim,CA *************@*****.*** 714-***-****
-Process at least 80-100 applicants a day.
-utilize sites like CMS, Exmbr and Ava
I also was crossed trained to help support the Return Mail team and the COB team.
-I would open and sort all return mail, log it and then scan it.
-Make outbound calls to providers to verify eligibility. Skills:
● Attention to detail
● Have well knowledge of Medicare and Medical
● Well knowledge of all the electronic health plans
● Time management
● Data entry
Health Net Insurance
Temp position-June 20th, 2023- May 1st 2024
-Remote
Customer Service Representative
Description:
Assigned a list of members to call and ask if they have completed all of their annual Preventive Care Screenings, such as a Blood Pressure, Colonoscopy, Mammograms and Eye exams.
● Trained to use different websites that contain the members personnel information such as, medical history, claims, Doctor information and Insurance plan to help reference when calling the members.
● Called Primary care providers and Pharmacies to obtain information for the member.
● Answer incoming and outgoing calls.
● Remaining professional and respectful when communicating with the members. Second project (HEDIS): Researching through the members information & medical visits history to find specific claims for preventive care screenings.
● Make phone calls to Doctor offices to collect medical records.
● Call the member
● Keep organized Notes to summarize all the steps made to retrieve the claims.
● Send/Requests faxes.
Americor
Full time-July 2021- January 2023
-Remote/ Irvine, CA
Finance technology company to help individuals with Debt. Ashley Faleao
Anaheim,CA *************@*****.*** 714-***-**** Special Projects Administrator
Description:
● Act as a liaison between internal departments and external attorney offices, communicating project status and issues regarding development and implementation
● Utilize Gmail to communicate with Creditors
● Support Negotiators floor management team with various reports and projects
● Utilize Microsoft Excel and Google Workspace equivalent applications to sort and manage data
● Maintain professional relationships with internal departments and third-party partnered organizations
● Process settlement letters
● GDPR compliance when handling sensitive data
● High volume data entry and analysis
● Work with department supervisors to provide reporting related key performance indicators
● Additional projects with other departments
● Daily Zoom Meetings with department and management
● Phone call meetings with assigned creditors monthly
● Update creditor and settlement information in the CRM
● Organization and multitasking
CALERIEHEALTH
October 24-July 2020-2021
Anaheim, CA 92806
-Dietary Supplements
Front Desk Receptionist/Office Administration/ Customer Service Representative Description:
● My job as a front desk receptionist at CALERIE is to welcome all visitors and customers in a respectful manner.
● Make sure all guests sign in.
● Take temperature’s of all guests and employees upon arrival.
● Communicate with employees when their guests arrive.
● Keep a clean and neat workspace.
● Monitor the conference room, such as keeping it clean and stocked with waters at all times.
● Check mail.
● Schedule appointments for guests to visit.
● Book flights and hotel rooms for important guests. Ashley Faleao
Anaheim,CA *************@*****.*** 714-***-**** Customer Service Rep:
● Answer and Transfer phone calls.
● Communicate with customers and answer questions about the products.
● Returns and Refunds.
● Take care of walk-in customers.
● Print and package orders in the office for walk-in customers only.
● Communicate with the warehouse team about shipments.
● Prep samples for guest and future brand partners. Direct Edge Media HR assistant/ file clerk
October 2019- March 2020
(Through temp agency )
Description:
My job is to communicate with the HR manager by doing all the tasks that she leaves me with no experience or training. I learned and caught along fast.
● Keep track of attendance, timesheets and call outs for other temp employees who work for this company.
● Gathered timesheets and sent them to the appropriate temp agency.
● Review and approve invoices for those timesheets from every temp agency.
● Check voicemails
● Prepare new hire packages and benefits packages for new hires.
● Organized employee’s files.
● Scan/ file information.
● Audit employee I-9 forms andIdentification cards. Made sure all important information was upto date. Take care of walk-in customers.
● Print and package orders in the office for walk-in customers only.
● Communicate with the warehouse team about shipments.
● Prep samples for guest and future brand partners. Forever 21 Sales Associate
Anaheim, CA
Ashley Faleao
Anaheim,CA *************@*****.*** 714-***-**** November 2017 to 2019
Description
● Communicate well with customers to help them find the items that they are looking for. Register and fitting room training.
● Learn the difference of each section to know where the appropriate piece clothes are located.
● On top of keeping the section clean and putting away go backs correctly. Working with a sense of urgency.
● Time management.
● Assisted other F21 stores for overnight shifts.
● Answer phone calls.
● Check out online orders/ Store pick ups.
● Cash register
● Back stock
Toshiba Business Solutions File Clerk
Irvine, CA 92618
September 2017 to October 2017
(temp)
Description
The company’s goal was to get rid of paper files. My job was to prep all paper files and put them in the appropriate order before scanning it for the online file. All files belonged to past and recent employees of Toshiba.