Melody Chmiel
Overview
3
3
years of professional experience
1
1
Certification
Work History
Claims Examiner
HCSC, Blue Cross Blue Shield Of Texas
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
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
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
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