- Crafting and DIY Projects
- Photography
- Drawing and Painting
- Graphic Design
- Creating digital artwork using software like Photoshop, Illustrator, or Procreate
- Music
- Fashion
- Interior Design
- I have a passion for photography and editing photos
Brianna Simmons
Hephzibah,GA
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. Also experienced with health insurance claims adjudication, ensuring detailed evaluations and accurate claim outcomes.
Overview
11
11
years of professional experience
Work History
Claims Representative
Blue Cross Blue Shield of Sc
10.2023 - 01.2025
- Drafted statements of loss to summarize payments, underlying policy coverages and damages.
- Conducted research into medical terminology related to healthcare claims processing activities.
- Maintained detailed records of claims, decisions, and financial transactions in compliance with regulatory requirements.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Maintained detailed records of all communication with customers, claimants, providers, and internal departments.
- Handled modification and updating of policies.
- Analyzed trends in claim denials or delays to identify areas for improvement within the organization.
- Prepared and reviewed insurance-claim forms and related documents for completeness.
- Transcribed data to worksheets and entered data into computer to prepare documents and adjust accounts.
- Processed a high volume of claims efficiently while maintaining quality standards.
- Utilized claims management software to track claims progress and maintain organized documentation.
- Examined automobile policies with third-party liability, accident benefits, and collision benefits.
- Examined claims, records and procedures to grant approval of coverage.
- Assisted new policyholders with processing claims.
Packer Associate
Amazon
08.2022 - 10.2023
- Verified labels for appropriate order numbers and item specifications.
- Arranged items on pallets according to size and weight.
- Reviewed packing slips and other documentation to properly box requested items for shipment.
- Assembled customer orders from stock and packed items in boxes.
- Reported safety or workflow concerns to leadership for further investigation.
- Adhered to product safety and hygiene guidelines for health and regulatory compliance.
Customer Service Representative
Electrolux
08.2021 - 06.2022
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Demonstrated excellent communication skills in resolving product and consumer complaints.
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
Cashier/Maintenance
Walmart
06.2018 - 08.2021
- Assisted with purchases, locating items and signing up for rewards programs.
- Welcomed customers, offering assistance to help find necessary store items.
- Resolved issues with cash registers, card scanners and printers.
- Assisted customers with account updates, new service additions and promotional offers.
- Helped customers find specific products, answered questions and offered product advice.
- Operated cash register, collected payments and provided accurate change.
- Increased sales [Number]% by suggesting specific purchases to customers.
- Trained new employees in cashiering procedures, offering assistance in resolving [Type] issues.
- Operated cash register or POS system to receive payment by cash, check and credit card.
- Answered customer questions and provided store information.
- Accepted cash and credit card payments, issued receipts and provided change.
- Delivered high level of customer service to patrons using active listening and engagement skills.
- Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
Cashier
McDonald's
01.2014 - 05.2018
- Processed credit card payments and gave counter slips to customers for signatures.
- Took orders, prepared foods and processed payments in full-service establishment.
- Organized food items on serving trays and in carry-out packages.
- Accepted transaction payments, making change for cash payments and processing credit cards, debit cards and gift cards.
- Reviewed contents on food trays to check receiving complete order.
- Operated cash register or POS system to receive payment by cash, check and credit card.
Tutoring Assistant
Soar Academics Academy
10.2015 - 06.2016
- Determined student's unique needs and identified best methods to address each.
- Quizzed students on learning materials and using different types of techniques to help in subject matter recall.
- Obtained feedback from students and parents to use in development of lesson plans.
- Taught students how to study, take notes and complete test questions.
Education
Associate of Arts - Graphic And Digital Design
F.i.r.s.t Institute
Orlando, FL08-2025
Associate Degree in Nursing - Nursing
Augusta Technical College
Augusta, GA02.2017
High School Diploma -
Hephzibah High School
Hephzibah, GA05.2013
Skills
- Quality assurance controls
- Schedule mastery
- Quality control
- Basic computer skills
- Communication skills
- Honest and Dependable
- Problem Solving
- Work Task Prioritization
- Customer Relations
- Feedback Acceptance
- Cleaning and Sanitizing
- Inventory Stocking
- Problem-Solving
- Employee Training
- Customer Assistance
- Claims processing
- Customer service
- Cash Drawer Balancing
- Documentation research
- Flexible schedule
- Claims investigations
- Microsoft office
- Time management
- Claims trend analysis
- Claims investigation
- Documentation review
Name
Hi, I’m
Education and Training
true
Name & Contact
Interests
Timeline
Claims Representative
Blue Cross Blue Shield of Sc
10.2023 - 01.2025
Packer Associate
Amazon
08.2022 - 10.2023
Customer Service Representative
Electrolux
08.2021 - 06.2022
Cashier/Maintenance
Walmart
06.2018 - 08.2021
Tutoring Assistant
Soar Academics Academy
10.2015 - 06.2016
Cashier
McDonald's
01.2014 - 05.2018
High School Diploma -
Hephzibah High School
Associate of Arts - Graphic And Digital Design
F.i.r.s.t Institute
Associate Degree in Nursing - Nursing
Augusta Technical College
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