Summary
Overview
Work History
Education
Skills
Timeline
Generic
Melanie Turner

Melanie Turner

Claims Processor customer service
Phoenix,AZ

Summary

Reliable Customer Service Representative with extensive track record in demanding sales and account management environments. Strong presenter, communicator and problem solver working effectively and productively with diverse customers and individual needs.

Empathetic professional in customer service known for high productivity and efficiency in task completion. Possess specialized skills in conflict resolution, data entry, and customer relationship management. Excel in communication, problem-solving, and adaptability, ensuring positive experiences and outcomes for customers.

Detailed Client Service Associate known for having great organizational skills. Gifted at working with all types of customers. Looking for a new role where hard work and dedication will be highly valued.

Resourceful Customer Service Representative known for high productivity and efficient task completion. Specialized in communication, problem-solving, and time management skills, ensuring smooth operations in customer service environments. Excel in listening, empathy, and patience, which are crucial for addressing customer needs effectively and building positive relationships.

Enthusiastic client services professional with strong background directly interfacing with industry customers. ser trends. Dependable achiever, committed to holding the highest ethical standards and maintaining customer trust.

Personable and dedicated customer service representative with extensive experience in industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. customer sati and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.

Customer Service Representative with background in providing exceptional support. Skilled in communication, problem-solving, and maintaining positive relationships with customers. Demonstrated ability to improve customer satisfaction and loyalty through attentive service and effective issue resolution. Committed to enhancing team performance by sharing knowledge and best practices in customer service operations.

Experienced in fast-paced environments and adaptable to last-minute changes. Thrives under pressure and consistently earns high marks for work quality and speed.

Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.

Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational skills.

Overview

30
30
years of professional experience

Work History

Co CEO

HMC Jewelry and Stuff
01.2022 - Current
  • Hired, trained, and mentored staff members to maximize productivity.
  • Provided organizational leadership and collaborated with executive partners to establish long-term goals, strategies and company policies.
  • Developed long-range plans for business growth, resulting in increase in annual sales.
  • Directed long-term research initiatives to identify new markets for growth opportunities.
  • Analyzed market trends and customer data to inform decision-making processes.
  • Created program to promote new managers from within, leading to cohesive leadership structure.
  • Exceeded sales goals through upselling and cross-selling within existing client base as well as strategically attracting new business.
  • Drove revenue by cultivating successful client relations.

Customer Service Representative

PBP
Meadville
10.2013 - 09.2014
  • Prevented key account losses by researching discrepancies and correcting problems.
  • Liaised between customers and retail buyers to expedite orders and meet customer demands.
  • Tracked orders from start to finish to ensure timely delivery of goods or services.
  • Conducted regular follow-up calls with customers after resolving their issues.
  • Prepared and evaluated CRM reports to identify problems and areas for improvement.
  • Implemented innovative methods for streamlining the customer service process.
  • Answered inbound calls, chats and emails to facilitate customer service.
  • Answered customer inquiries via phone, email, and chat.
  • Oversaw warranty counseling process to manage expense controls.
  • Coordinated with internal teams to ensure timely and successful delivery of solutions according to client needs.
  • Led on- and off-site customer support teams across multiple time zones.
  • Adjusted bills and refunded money to resolve customers' service or billing complaints.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Recommended improvements in products, service and billing methods to management to prevent future problems.
  • Collected deposits or payments and arranged for billing.
  • Excelled in exceeding daily credit card application goals.

Customer Service Representative

Liberty Tax Service
Manhattan
09.2010 - 04.2011
  • Strengthened customer retention by offering discount coupons.
  • Greet and meet customer demands while doing their taxes.
  • Conducted regular follow-up calls with customers to let them come back to get their refunds.
  • Performed administrative tasks such as filing paperwork, updating databases and generating reports.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.

Customer Service Representative

Alorica
Manhattan
04.2006 - 08.2008
  • Adjusted bills and refunded money to resolve customers' service or billing complaints.
  • Took special orders in person and over telephone, generating additional revenue every month.
  • Tracked orders from start to finish to ensure timely delivery of goods or services.

Claims Representative

State of Kansas
Topeka
09.1999 - 10.2001
  • Analyzed claims data to identify trends and recommend changes to reduce risk and prevent fraud.
  • Documented changes in claim statuses using specialized software systems.
  • Responded to inquiries from regulatory bodies and complied with reporting requirements.
  • Processed a high volume of claims efficiently while maintaining quality standards.
  • Identified potential fraud indicators during the review process and reported suspicious activity accordingly.
  • Assisted in the development and updating of claims policies and procedures to improve efficiency.
  • Collaborated with healthcare providers to verify treatments and ensure accurate claim payments.

Claims Customer Service Representative

Blue Cross and Blue Shield of Kansas
Topeka
09.1995 - 04.1998
  • Applied basic insurance underwriting knowledge to evaluate and analyze information.
  • Provided detailed explanations of insurance coverage and policy limitations to customers.
  • Identified opportunities for training staff on areas where improvement was needed.
  • Ensured compliance with applicable laws and regulations when handling customer inquiries or requests.
  • Coordinated and planned investigations of claims to confirm compensability and coverage.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Examined claims, records and procedures to grant approval of coverage.
  • Processed claims for payment or forwarded to appropriate personnel for further investigation
  • Participated in team meetings and contributed to team goals and objectives.
  • Processed payments for approved claims within established time frames.
  • Participated in team meetings discussing issues related to customer service operations.

Education

Some College (No Degree) - English

Highland Community College
Highland, KS

Business Administration And Management

Maricopa Community Colleges, South Mountain Community College
Phoenix, AZ
2025 - Current

Skills

  • Customer relationship management
  • Order tracking
  • CRM reporting
  • Billing adjustments
  • Conflict resolution
  • Data entry accuracy
  • Process improvement
  • Team collaboration
  • Time management
  • Effective communication
  • Attention to detail
  • Problem solving
  • Customer retention strategies
  • Stress management
  • Resourcefulness
  • Goal setting
  • Trained in Salesforce
  • Senior leadership support
  • Adaptive team player
  • Quality assurance
  • Data collection
  • Conflict mediation
  • Adaptability
  • Calm demeanor
  • Estimating
  • Refunds processing
  • Problem resolution
  • Customer relationship management
  • Business development understanding
  • Consultative sales
  • Call escalation
  • Complaint handling
  • Follow-up skills
  • Report generation
  • Problem-solving aptitude
  • Regulatory compliance
  • Policy adherence
  • Professional telephone demeanor
  • Direct sales
  • Policies and procedures adherence
  • Critical thinking
  • Order processing
  • Product education
  • Grammar
  • Telemarketing
  • Stress tolerance
  • Teamwork
  • Decision-making
  • Merchandise upselling
  • Call center operations
  • Market awareness
  • Reliability
  • Staff training
  • Emotional intelligence
  • Customer education

Timeline

Business Administration And Management

Maricopa Community Colleges, South Mountain Community College
2025 - Current

Co CEO

HMC Jewelry and Stuff
01.2022 - Current

Customer Service Representative

PBP
10.2013 - 09.2014

Customer Service Representative

Liberty Tax Service
09.2010 - 04.2011

Customer Service Representative

Alorica
04.2006 - 08.2008

Claims Representative

State of Kansas
09.1999 - 10.2001

Claims Customer Service Representative

Blue Cross and Blue Shield of Kansas
09.1995 - 04.1998

Some College (No Degree) - English

Highland Community College
Melanie TurnerClaims Processor customer service