Melody Chmiel
Overview
3
3
years of professional experience
1
1
Certification
Work History
Claims Examiner
HCSC, Blue Cross Blue Shield Of Texas
Marshall, TX
04.2023 - Current
- Handled complaints and grievances using negotiating and problem-solving skills.
- Examined photographs and statements.
- Finalized medical files for insurance claim payment release.
- Researched claims and incident information to deliver solutions and resolve problems.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Customer Service Advocate
HCSC, Blue Cross Blue Shield Of Texas
Marshall, TX
09.2021 - Current
- Handled customer inquiries and suggestions courteously and professionally.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Responded to customer requests for products, services, and company information.
Assistant Manager
Fikes Wholesale
Longview, TX
01.2021 - 09.2021
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
- Completed regular inventory counts to verify stock levels, address discrepancies, and forecast future needs.
- Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
- Mentored team members to enhance professional development and accountability in workplace.
Education
High School Diploma -
Elysian Fields High School
Elysian Fields, TX02.2015
Skills
- Data Verification
- Medical terminology
- Continuous Learning
- Problem Solving
- Organizational Skills
- HIPAA Compliance Understanding
- Insurance Policies Familiarity
- OneDrive for Business
- Data Entry
- Appointment Scheduling
- Information Security
- Effective communication
Certification
- Hipaa certified, Blue Cross Blue Shield of texas - one year
Timeline
Claims Examiner
HCSC, Blue Cross Blue Shield Of Texas
04.2023 - Current
Customer Service Advocate
HCSC, Blue Cross Blue Shield Of Texas
09.2021 - Current
Assistant Manager
Fikes Wholesale
01.2021 - 09.2021
High School Diploma -
Elysian Fields High School
- Hipaa certified, Blue Cross Blue Shield of texas - one year