Summary
Overview
Work History
Education
Skills
Timeline
Section name
Generic

JAMELLA SIMMONS

Calera

Summary

Accomplished, value-driven, mission-oriented professional with experience providing internal employee development, team effectiveness and leadership development consulting to all levels of an organization; adaptable leader with the ability to work independently and maintain critical thinking skills in the face of unforeseen challenges with a strong work ethic, and positive attitude

Professional Member Service Specialist with comprehensive experience in delivering exceptional member support and service. Adept at handling member inquiries, resolving issues efficiently, and enhancing member satisfaction. Strong focus on team collaboration and achieving results, with adaptability to changing needs. Skilled in communication, problem-solving, and building lasting member relationships, ensuring reliability and trustworthiness.

Overview

15
15
years of professional experience

Work History

Member Services Representative

RX Benefits
02.2023 - Current
  • Ensure questions and issues are resolved from start to resolution, both promptly and accurately and in a manner that the participants can understand while thoroughly and efficiently gathering information, assessing, and fulfilling the caller’s needs, and providing education along the way.
  • Address customer issues and ensure effective and long-term problem resolution.
  • Communicate with other professionals such as various PBM staff, pharmacy staff, pharmacists, medical office staff, and physicians to resolve customer needs.
  • Provide information about company programs, products, and services.

Staffing Coordinator

EA Renfroe
06.2022 - 09.2022
  • Assisted in managing the application queue by vetting new project personnel through the hiring process to include reviewing applications, interviewing, and processing background checks.
  • Received and processed incoming and outgoing calls to offer deployments, update employee records, answered assignment questions and resolved problems.
  • Completed employee profiles by obtaining required licenses, certifications, employment documents and profile photos and by verifying active statuses.
  • Completed client deployment reports and works with accounting to complete required forms for adjuster payroll.
  • Facilitated client training programs and conferences and serves as a resource for proficiency testing.

Financial Crimes Specialist

Wells Fargo Call Center
03.2018 - 01.2020
  • Evaluated the adequacy and effectiveness of policies, procedures, processes, and internal controls.
  • Reviewed and assessed business, operational, or technical assignments or challenges that require research, evaluation, and selection of alternatives, and exercise independent judgment to guide medium risk deliverables.
  • Performed investigative research, root cause evaluation and consulting regarding complex financial crimes transactions, policy violations and suspicious situations with moderate to high risk.
  • Performed detailed examination to detect transactional and relationship patterns, trends, anomalies and schemes across multiple businesses or products.

Patient Care Technician

Fresenius Vascular Care Inc.
07.2015 - 09.2017
  • Obtained and documented necessary pre- and post-treatment vital signs and weight for each patient.
  • Evaluated vascular access pre-treatment and performs vascular access cannulation.
  • Evaluated intradialytic problems and provides intervention as prescribed by physician order or as directed.
  • Entered all treatment data into the designated clinical application in an accurate and timely manner.
  • Collected, labeled, appropriately prepared, and stored lab samples according to required laboratory specifications.

Team Lead

Forever 21
01.2015 - 05.2015
  • Assisted customers complete purchases, locate items, and join reward programs to promote loyalty, satisfaction, and sales numbers.
  • Trained, mentored, and developed new cashiers with positive and encouraging techniques to maximize performance and team contributions.

Receiving Clerk

Home Depot Warehouse
02.2011 - 06.2012
  • Received freight shipments at the store and unloading the freight truck or trailer using hand tools and lifting equipment.
  • Communicated with customers to provide information about products or services offered by the store.
  • Performed clerical tasks such as answering phones, greeting customers, and processing orders.

Education

Associate of Science - Nursing Education

T.A. Lawson State Community College
Birmingham, AL
12.2025

Skills

  • Strong proficiency with Internet, Windows-based PC, intermediate to advanced skills and understanding of and Microsoft Word, Excel, PowerPoint, and Outlook
  • Handle confidential information with integrity and professionalism within HIPAA Guidelines
  • Outstanding organizational and conflict management skills with seasoned accuracy in the areas of medical terminology, meeting planning, technical support, and customer engagement
  • Possess excellent telecommunications, management, administrative, and multi-tasking skills
  • Highly analytic thinker with demonstrated talent for planning, initializing, and implementing operational procedures and streamlining complex work procedure
  • Detail oriented with an ability to simultaneously work toward big picture goals and priorities
  • Ability to prepare, present and review oral and written technical and confidential information and reports
  • Identify opportunities for improvement while creating and implementing viable solutions
  • Relationship building

Timeline

Member Services Representative

RX Benefits
02.2023 - Current

Staffing Coordinator

EA Renfroe
06.2022 - 09.2022

Financial Crimes Specialist

Wells Fargo Call Center
03.2018 - 01.2020

Patient Care Technician

Fresenius Vascular Care Inc.
07.2015 - 09.2017

Team Lead

Forever 21
01.2015 - 05.2015

Receiving Clerk

Home Depot Warehouse
02.2011 - 06.2012

Associate of Science - Nursing Education

T.A. Lawson State Community College

Section name

References and Supporting Documentation Furnished upon Request

Similar Profiles

CREATE PROFILE