Summary
Overview
Work History
Education
Skills
Websites
Timeline
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Briane James

Kernersville,NC

Summary

Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.

Overview

6
6
years of professional experience

Work History

Selling Partner Support/ Email and Phone

Amazon
05.2022 - Current
  • Facilitate service operations by quickly and efficiently responding to incoming calls, identifying solutions, and documenting interactions, increasing productivity by 20% in 2023
  • Advanced proficiency in Microsoft Word, Excel, and Outlook for efficient documentation and communication
  • Demonstrates effective, clear, and professional written and oral communication
  • Demonstrates excellent time-management skills and the ability to work independently while using departmental resources, policies, and procedures
  • Maintains acceptable performance metrics such as quality, productivity, first contact resolution, and attendance.

Senior Resolution Coordinator

Walmart
10.2023 - 04.2024
  • Handle high volume of incoming calls, chats, and emails from customers, stores, and associates
  • Utilizing various systems, you’ll provide prompt and professional assistance, aiming for optimal customer satisfaction
  • Essential qualities include punctuality, reliability, problem-solving skills, integrity, and commitment to excellence.
  • Served as subject matter expert in dispute resolution, providing guidance and training to new hires on best practices.
  • Developed detailed reports on case resolutions that contributed to continuous improvement initiatives within organization.
  • Utilized advanced problem-solving skills to address unique challenges faced during resolution process, resulting in satisfactory outcomes for all parties involved.

Customer Service Agent/Provider Relations

UnitedHealth Group
10.2021 - 05.2022
  • Communicated effectively, both orally and in writing, employing thoroughness, clarity, and professionalism
  • Analyzed insurance information, performed data entry, and handled insurance claims
  • Curate exceptional customer service by performing accurate billing adjustments and corrections, reducing errors and retroactive adjustments by 15% annually
  • Demonstrated ability to work autonomously and collaboratively within a team environment to achieve objectives
  • Provided client and provider support where needed.
  • Demonstrated empathy in handling difficult situations, fostering trust and loyalty among customers.
  • Enhanced customer satisfaction by efficiently resolving inquiries and addressing concerns.
  • Demonstrated high attention to detail, organization and management of multiple tasks and projects simultaneously.

Mail Handler

USPS
10.2018 - 06.2021
  • Sorted and canceled mail using relevant machinery
  • Prepared large batches of mail for distribution
  • Distributed mail to various carriers
  • Operated copy machine and other office equipment.

Education

Bachelor of Arts in Healthcare Administration -

University of Arizona Global Campus
Chandler, AZ
06.2025

Skills

  • Data Entry and Documentation
  • Customer Service Skills
  • Microsoft Office Proficiency
  • Teamwork and Independence
  • Interpersonal Skills
  • Planning/Organizing
  • Problem-solving
  • Customer Relationship Building
  • Performance Analysis
  • Administrative Management
  • Company processes and procedures
  • Collaboration and Teamwork
  • Creative and Critical Thinking
  • Building Trust and Relationships
  • Organization and Administration
  • Client Representation and Advisement
  • Claims review
  • Accuracy and Precision
  • Professionalism and Ethics
  • Data entry proficiency
  • Medical terminology knowledge

Websites

Timeline

Senior Resolution Coordinator

Walmart
10.2023 - 04.2024

Selling Partner Support/ Email and Phone

Amazon
05.2022 - Current

Customer Service Agent/Provider Relations

UnitedHealth Group
10.2021 - 05.2022

Mail Handler

USPS
10.2018 - 06.2021

Bachelor of Arts in Healthcare Administration -

University of Arizona Global Campus

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Briane James