Summary
Overview
Work History
Education
Skills
Project Program
Languages
Timeline
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Nayeli Melchor

Nayeli Melchor

Fresno,USA

Summary

Strategic professional in human resources management, known for high productivity and efficiency in task completion. Possess specialized skills in employee relations, compliance with labor laws, and talent acquisition strategies. Excel in communication, leadership, and problem-solving to enhance organizational effectiveness.

Overview

15
15
years of professional experience

Work History

Sow Contractor-Dental Claims and Procedures

Gainwell Technologies
Remote, CA
06.2024 - Current
  • Handle an average of 50+ calls per day, assisting patients and providers with dental claims and procedures while ensuring HIPAA compliance
  • Verify patient information and procedure statuses to facilitate accurate and timely claim processing
  • Guide patients in finding in-network dental providers and explain their coverage and benefits
  • Address and resolve 80%+ of patient complaints on the first call by providing clear information, troubleshooting issues, and escalating concerns when necessary
  • Maintain a weekly call accuracy score above 90%, ensuring compliance with quality assurance standards
  • Collaborate with dental offices to resolve claim discrepancies and ensure timely approvals

Office Coordinator

Matian Law Firm
Fresno, CA
01.2023 - 11.2023
  • Achieved a 75% reduction in system downtime by overhauling operational workflows and integrating advanced risk management protocols to enhance data security and protect sensitive client information
  • Led the implementation of Microsoft Office best practices, resulting in a 94% increase in departmental efficiency and ensuring compliance with productivity standards
  • Improved office operations by coordinating cross-functional teams for new hire onboarding and supply chain management, leading to a 95% enhancement in overall efficiency and reduced downtime
  • Worked with HR to develop and enforce improved behavioral policies, resulting in an 80% increase in workplace productivity and reduced compliance risks related to employee conduct

Front Desk Bilingual Lead

Tenaya Lodge Resort
Fish Camp, CA
07.2022 - 01.2023
  • Provided prompt customer service by addressing guest needs within 5 minutes, exceeding company standards by 80% and significantly enhancing guest satisfaction
  • Oversaw and manage more than 200 guest requests daily, efficiently prioritizing and delegating tasks among team members to ensure timely responses and high-quality service
  • Led a team focused on seven key operational areas, including check-ins, guest inquiries, and special requests
  • Created and implemented a customer service protocol that boosted satisfaction ratings by 80%, positively influencing the hotel's revenue and brand reputation
  • Ensured effective communication across departments for quick issue resolution and compliance with guest service standards, resulting in enhanced workflow efficiency

Dispatcher

Border Transfer
Fresno, CA
07.2016 - 08.2021
  • Achieved a 75% increase in customer satisfaction by accurately managing incoming calls and dispatch requests, enhancing logistical support and ensuring compliance with delivery schedules
  • Utilized advanced communication and problem-solving skills to resolve emergencies 20% faster, maintaining safety and operational standards under pressure
  • Analyzed GPS data to optimize vehicle routes, resulting in an 85% increase in on-time deliveries and a 92% boost in customer satisfaction by reducing transportation inefficiencies
  • Established a performance tracking system to monitor dispatch efficiency, leading to a streamlined workflow and a 30% reduction in operational delays while ensuring compliance with safety regulations

Education

Bachelor of Arts - Graphic Design

California State University, Fresno
Fresno

Skills

  • HIPAA compliance
  • Dental claims processing
  • Customer relationship management
  • Data analysis
  • Microsoft Office
  • Complaint handling
  • Access controls
  • Data analysis
  • Leadership and collaboration
  • Performance Development
  • HR Compliance
  • Stakeholder Engagement
  • Relationship building
  • Calendar Management
  • Adaptability and flexibility

Project Program

Women + Cybersecurity = Women's Society of Cyberjutsu, Project Coordinator

Languages

Spanish
Professional

Timeline

Sow Contractor-Dental Claims and Procedures

Gainwell Technologies
06.2024 - Current

Office Coordinator

Matian Law Firm
01.2023 - 11.2023

Front Desk Bilingual Lead

Tenaya Lodge Resort
07.2022 - 01.2023

Dispatcher

Border Transfer
07.2016 - 08.2021

Bachelor of Arts - Graphic Design

California State University, Fresno

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Nayeli Melchor