- Animal Care
- Youth mentor, providing guidance and support to empower the next generation of leaders
- Music
- Watching Movies and TV Shows
- Volunteering
- Road Trips
Melinda Spitzer
Dunbar,WV
Summary
Friendly and empathetic with excellent communication skills, dedicated to providing outstanding service and support. Possesses solid understanding of customer needs and conflict resolution, coupled with strong problem-solving abilities. Aiming to build positive customer relationships and contribute to customer satisfaction and loyalty.
Overview
19
19
years of professional experience
Work History
Customer Service Representative
CareFirst BCBS
06.2022 - 11.2023
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Medical Claims Examiner
Wells Fargo
04.2011 - 06.2022
- Enhanced claim processing efficiency by conducting thorough investigations and maintaining accurate documentation.
- Maintained compliance with industry regulations and company policies while evaluating medical claims for accuracy and legitimacy.
- Collaborated with healthcare providers to obtain necessary medical records, ensuring timely and accurate claim adjudication.
- Improved interdepartmental communication by fostering a collaborative environment and sharing vital information regarding complex cases.
Customer Service Representative
DialAmerica
01.2007 - 04.2011
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
Owner
The Sandwich Shoppe
11.2004 - 01.2007
- Managed day-to-day business operations.
- Developed and maintained strong relationships with clients, resulting in repeat business and referrals.
- Oversaw daily operations, ensuring all tasks were completed accurately and efficiently by team members.
- Increased customer satisfaction by implementing efficient business processes and providing exceptional service.
- Managed financial aspects of the business, including budgeting, financial reporting, and tax preparation.
Education
Vocational - Medical Billing And Coding
Ashworth College
Norcross, GA06-2015
Vocational - Medical Assistant And Billing Specialist
National Institute of Technology
Cross Lanes, WV06-2004
High School Diploma -
South Charleston High School
South Charleston, WV08-1999
Skills
- Customer service
- Active listening
- Critical thinking
- Data entry
- Call center experience
- Problem resolution
- Payment processing
- Scheduling
- Microsoft Office Suite
Interests
Timeline
Customer Service Representative
CareFirst BCBS
06.2022 - 11.2023
Medical Claims Examiner
Wells Fargo
04.2011 - 06.2022
Customer Service Representative
DialAmerica
01.2007 - 04.2011
Owner
The Sandwich Shoppe
11.2004 - 01.2007
Vocational - Medical Billing And Coding
Ashworth College
Vocational - Medical Assistant And Billing Specialist
National Institute of Technology
High School Diploma -
South Charleston High School
Similar Profiles
Antoinette McCaffityAntoinette McCaffity
Claims Adjuster II at CareFirst BCBSClaims Adjuster II at CareFirst BCBS
Emily DelkerEmily Delker
Client Relationship Manager at CareFirst BCBSClient Relationship Manager at CareFirst BCBS
Angela ChamberlainAngela Chamberlain
Claims Processor III at CareFirst BCBS of DCClaims Processor III at CareFirst BCBS of DC