Hi, I’m
BRIANNA JUDON
Montgomery,Il
Summary
Results-driven Supervisor trained in resolution of critical issues within time-sensitive environment with successful track record of building and maintaining talented teams. Highly organized, energetic and versatile leader committed to continuous improvements. Proven history of motivating staff to work together to achieve targets.
Results-driven Trainer known for high productivity and efficient task completion. Specialize in employee engagement strategies, and performance improvement techniques. Excel in communication, leadership, and adaptability, ensuring successful training outcomes and enhanced team performance.
Overview
16
years of professional experience
Work History
AbbVie
Insurance Specialist II
05.2023 - Current
Job overview
- Company Overview: AbbVie Endocrinology
- Delivered expert customer service for all inbound and outbound calls to achieve first call resolution.
- Provide insurance coverage, verification details, prior authorization statuses, and alternate funding options for existing and newly launched products.
- Provide offices with current plan forms, portals, and websites for prior authorizations, and appeal submissions.
- Clearly communicate and educate customers on the results of the investigation.
- Investigate and problem-solve for patients experiencing escalated issues, such as disadvantaged or complex access, savings card/copay card challenges, or non-preferred formulary issues.
- Where necessary, complete a benefit investigation, contact the HCP, and/or the patient, or potentially the filling pharmacy or payor.
- Quickly learn and execute business processes and system changes for all drugs and channel sources, as applicable.
- Maintain an understanding of current business procedures, deviations, and case processing for all brands and channel sources for the Insurance Specialist I role, to support as needed.
- Documents information in the appropriate system of record and formats.
- Accurately communicate insurance details to HCPs and patients via phone, other electronic communication methods, and fax, as per established policies and procedures.
- Identify potential adverse event situations for reporting to Pharmacovigilance, ensuring AbbVie meets FDA regulations.
Cigna
Prior Authorization Specialist
12.2021 - 07.2022
Job overview
- Collaborated with medical professionals and patients to facilitate prior authorizations for medications and medical equipment claims.
- Sustained exceptional service with an overall quality rating of 98%.
- Contributed to the development of new agent onboarding programs, as well as on-the-job training, coaching, and development paths.
- Maintained positive working relationship with fellow staff and management.
- Educated healthcare professionals on how to properly submit a request for pre-authorization.
- Facilitated communication between providers, payers and health plans regarding prior authorization processes.
- Input claim, prior authorization, and other important medical data into system.
- Evaluated patient eligibility and benefits for requested procedures and medications.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Conducted regular audits of authorization records to ensure compliance with regulatory standards.
- Researched clinical criteria and determined eligibility for requested services based on plan provisions.
American Water
Customer Service and Sales Coordinator
08.2019 - 09.2020
Job overview
- I started this role as a temporary employee through Cynet Systems Agency and was brought on as a full-time employee after three months.
- I assumed a supervisory role in the call center and took over my own team.
- I was able to increase sales productivity on my team of 11 agents from 22% to 87%.
- Maintained employees' time sheets, schedules, available time off, and provided recognition and coaching opportunities for each agent monthly.
- Analyzed customer feedback surveys to determine areas where improvements could be made in order to increase satisfaction levels.
- Provided administrative support to the sales team including scheduling meetings, preparing presentations and managing email correspondence.
McDonald's (Crisafi Industries)Smithfield, RI
Store Manager
01.2009 - 03.2015
Job overview
- I started working for McDonald's in 2009 and was able to promote very quickly. I started as a crew member in January, was promoted to a trainer in April, was promoted to Lead in May, where I maintained my position until my graduation, at which point I was promoted to a store supervisor in 2012. During my time as a supervisor, I maintained employees on shift, handled cash drawer counts, and managed employees and shifts.
- In 2013, I was then promoted to lead supervisor, where I was assigned the task of bringing each store in our franchise group (four locations) up to gold standard by solely taking over the staffing and training for each location, helping us improve 5-star quality at each location. By September of 2013, I was able to assume the role of store manager for one location, running the store with business needs in mind. I maintained this position until I had my daughter, at which point I was no longer working.
- Strengthened work flow productivity by hiring, managing and developing top talent.
- Prepared staff work schedules and assigned team members to specific duties.
- Ensured compliance with safety regulations and company policies.
- Built customer confidence by actively listening to concerns and complaints and quickly resolving issues.
- Developed strategies to maximize sales and profitability.
- Monitored inventory levels and placed new orders for merchandise to keep supply well-stocked.
- Updated POS system with new products and promotional offers.
- Managed daily banking activities such as deposits and withdrawals.
- Established customer service standards and monitored staff compliance.
- Resolved customer complaints in a timely manner.
- Prepared monthly reports on sales figures, expenses, profits.
- Reviewed customer feedback to make operational improvements and promote satisfaction.
- Monitored employee performance and identified performance gaps for corrective action.
Education
Community College of Rhode Island
Computer Science
Southern New Hampshire University
Computer Science
Skills
- Account management expertise
- Regulatory compliance
- Documentation skills
- Account management
- Claims management
- Customer follow-up
- Health insurance
- Policy renewals
- CRM software
- New client acquisition
- Upselling
- Claims reporting systems
- Professionalism and ethics
- Marketing strategies
- Operations management
- Customer service
- Client relations
- Negotiation abilities
- Schedule development
- Expectation setting
- Performance management
- Payroll processing
- Verbal and written communication
- Quality control
- Task delegation
- Decision-making
- Inventory control
- Training and mentoring
- Employee development
- Training & Development
- Sales training
Communication Skills
During my time here with Abbvie I was brought on full time in December of 2023 after spending 8 months on the EIMP team where I assisted with SBS/RSBS, helped new hires feel comfortable in their new roles, and assisted my supervisor with anything that she may have needed including case corrections, payor calls, and case checks. In January I was then asked to move to the SCIT team where I have continued to assist with the previous tasks as well as learned new skills relating to the savings card and its usage. I look forward to moving forward with Abbvie and am eager to see how my career here will unfold.
Timeline
Insurance Specialist II
AbbVie
05.2023 - Current
Prior Authorization Specialist
Cigna
12.2021 - 07.2022
Customer Service and Sales Coordinator
American Water
08.2019 - 09.2020
Store Manager
McDonald's (Crisafi Industries)
01.2009 - 03.2015
Community College of Rhode Island
Computer Science
Southern New Hampshire University
Computer Science
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