Melvinnisa Nealy
Albany
Summary
Professional with strong background in customer interactions and service solutions. Highly skilled in conflict resolution, communication, and problem-solving, ensuring customer satisfaction and loyalty. Effective team collaborator, adaptable to changing needs, and consistently focused on achieving results through efficient and empathetic service. Known for reliability and proactive approach to meeting customer and organizational goals.
Overview
13
13
years of professional experience
Work History
Claims Processor
RemX, McKesson Specialty
04.2024 - 08.2025
- Processed and reviewed claims for accuracy and compliance with company policies.
- Collaborated with healthcare providers to gather necessary documentation for claim resolution.
- Managed high-volume claim submissions, ensuring timely processing and adherence to deadlines.
- Identified discrepancies in claims and initiated corrective actions to resolve issues promptly.
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
Customer Service Rep.
Sutherland(Work From Home)
02.2021 - 01.2024
- Resolved customer inquiries efficiently through active listening and problem-solving techniques.
- Enhanced customer satisfaction by providing accurate information and timely support for product issues.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Assisted customers in navigating company website and placing online orders, improving overall user experience.
Claims Processor
Get Insured
07.2017 - 02.2021
- Processed medical claims with a focus on accuracy and compliance with industry regulations.
- Reviewed documentation to ensure completeness, verifying patient information and insurance coverage details.
- Collaborated with healthcare providers to resolve discrepancies in claims submissions and payments.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
Customer Service Rep.
William Sonoma
04.2014 - 02.2018
- Resolved customer inquiries through effective communication and problem-solving techniques.
- Managed high-volume call center environment while maintaining exceptional service standards.
- Negotiated solutions with dissatisfied customers, turning potential negative reviews into positive testimonials.
- Participated in training programs to enhance product knowledge and customer service skills.
Cashier
Target
06.2012 - 04.2014
- Learned and followed all store policies and procedures, resulting in fewer mistakes and improved customer service
- Handled customer complaints calmly and professionally, resolving customer issues in a timely manner
- Greeted customers in a friendly and professional manner
- Processed transactions accurately and efficiently, ensuring that all transactions were completed within the established timeframe
- Performed cashier duties in a high-volume retail environment, processing up to X transactions per shift
Education
Bachelor of Science - Business Management
Albany Technical College
Albany, GA05-2028
High School Diploma -
Westover High School
Albany, GA05-2011
Skills
- Communication Skills
- Time Management Skills
- Multitasking Skills
- Problem Solving Skills
- Leaderships Skills
- Strong Communication Skills
- Accuracy and precision
- Call center experience
- De-escalation techniques
Timeline
Claims Processor
RemX, McKesson Specialty
04.2024 - 08.2025
Customer Service Rep.
Sutherland(Work From Home)
02.2021 - 01.2024
Claims Processor
Get Insured
07.2017 - 02.2021
Customer Service Rep.
William Sonoma
04.2014 - 02.2018
Cashier
Target
06.2012 - 04.2014
Bachelor of Science - Business Management
Albany Technical College
High School Diploma -
Westover High School
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