Open to opportunities

Tracy Melin

@tracymelin

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Detail-oriented Insurance & Healthcare Claims Specialist with 10+ years experience.

United States

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What I'm looking for

I am looking for a role that values compliance and accuracy, offers opportunities for professional growth, and fosters a collaborative work environment.

I am a detail-oriented Insurance & Healthcare Claims Specialist with over 10 years of experience in medical billing, claims processing, compliance, and administrative support. My proven track record includes improving claims accuracy, reducing processing delays, and enhancing customer satisfaction. I possess a strong knowledge of healthcare regulations, insurance plans, and medical terminology, which allows me to navigate complex claims with ease.

In my current role at Progressive Insurance, I manage complex personal injury claims, ensuring timely and accurate resolutions while maintaining a 98%+ accuracy rate in documentation and communications. I have successfully spearheaded improvements in provider communication and dispute handling, reducing resolution times by 20%. My previous experiences have equipped me with excellent communication, data entry, and problem-solving skills, making me a valuable asset in any healthcare or insurance setting.

Experience

Work history, roles, and key accomplishments

Current

Medical Claims Representative

Current

Progressive Insurance

Feb 2022 - Present (3 years 7 months)

Managed complex personal injury claims, ensuring timely and accurate resolution across multiple stakeholders. Utilized CPT coding and medical terminology daily to review and adjudicate medical claims, ensuring accuracy, policy compliance, and proper reimbursement for healthcare services.

Medical Terminology Claim Adjudication Compliance Medical Reimbursement Stakeholder Management Personal Injury Claims Medical Records Documentation

Benefits Specialist Assistant

RiskPoint Insurance Advisors

Feb 2021 - Present (4 years 7 months)

Processed medical, dental, vision, and HSA/FSA enrollments across multiple carriers. Assisted in resolving complex benefits issues, enhancing employee satisfaction and retention.

Benefits Administration HRIS Regulatory Compliance FMLA ADA Customer Service Data Entry

Compliance Specialist

Oregon Employment Department

Sep 2020 - Present (5 years)

Monitored internal controls and reduced compliance risk via audits and policy adherence. Prepared compliance reports and consulted with staff on regulatory guidance.

Compliance Audits Risk Management Reporting Internal Controls Data Analysis Communication

Office Manager / Executive Assistant

Mid Valley Auto Wholesale

Jan 2010 - Present (15 years 8 months)

Managed full-cycle AP/AR and oversaw budgeting and vendor payments. Supported hiring and onboarding processes while maintaining all financial records, reporting, and reconciliations.

Budgeting Financial Reporting Reconciliations Office Management Executive Support Hiring Onboarding Supply Chain Management

Education

Degrees, certifications, and relevant coursework

College of the Legal Arts

Certificate, Paralegal Studies

Completed a comprehensive program in paralegal studies, gaining expertise in legal research, document preparation, and court procedures. Developed a strong understanding of legal principles and their practical application.