Melanie Wiggins
Albuquerque
Summary
Qualified Member Services Representative with many years in fast-paced customer service and call center environments. Personable and professional under pressure.
Overview
7
7
years of professional experience
2
2
years of post-secondary education
Work History
Member Service Representative
Molina Healthcare
05.2025 - Current
- Resolved member issues by providing accurate information and timely support.
- Assisted members with inquiries regarding benefits and coverage options.
- Coordinated communication between members and healthcare providers for smooth service delivery.
- Educated clients on Molina Healthcare services and programs available to them.
- Processed member applications and updates in the healthcare management system.
- Maintained up-to-date knowledge of Molina Healthcare policies and procedures.
Member Service Representative
Alliance Data
Albuquerque
09.2019 - 10.2024
- Resolved member issues by providing accurate information and timely support.
- Assisted members with inquiries regarding benefits and coverage options.
- Processed member applications and updates in the credit card management system.
- Collaborated with team members to enhance service delivery and member satisfaction.
- Documented interactions with members to ensure proper follow-up and record-keeping.
Education
Apollo College
Albuquerque, Nm 02.2010 - 06.2012
Skills
- Member inquiries
- Benefits administration
- Application processing
- Policy compliance
- Issue resolution
- Healthcare coordination
- Customer relationship management
- Record management
- Member account management
- Billing inquiries
- Transaction handling
- Call center experience
- Customer support
- Service recommendations
- Workflow optimization
- Dispute resolution
- Escalation handling
- Multichannel communication
- Attention to detail
- Time management
- Team collaboration
- Problem solving
- Conflict resolution
- Active listening
- Relationship building
- Communication skills
- Billing inquiries
- Customer support
Timeline
Member Service Representative
Molina Healthcare
05.2025 - Current
Member Service Representative
Alliance Data
09.2019 - 10.2024
Apollo College
02.2010 - 06.2012