Jamin Godfrey
Tennessee
Summary
Results-driven healthcare operations professional with experience in quality analysis, claims resolution, and process improvement. Proven ability to evaluate complex interactions, identify trends, and deliver actionable insights that improve performance, compliance, and member experience. Strong collaborator with a background in cross-functional teamwork and a passion for driving quality excellence in AI-supported environments.
Overview
11
11
years of professional experience
Work History
Interplan Service Technician
BlueCross BlueShield of Tennessee
09.2022 - Current
- Analyze and resolve complex claims and overpayment issues, ensuring accuracy and compliance
- Conduct root cause analysis to identify recurring issues and recommend process improvements
- Manage escalations and collaborate with internal teams and Partner Plans to resolve high-impact issues
- Monitor aging inquiries and drive timely resolution through accountability tracking
- Maintain provider credentialing data in compliance with Association standards
- Identify patterns and trends in operational issues to support continuous improvement efforts
- Selected for Agent Workspace Early Adopters Project, providing feedback to enhance system performance
Customer Service Expert
BlueCross BlueShield of Tennessee
03.2020 - 09.2022
- Evaluated and resolved provider inquiries related to claims and benefits with a focus on accuracy and completeness
- Maintained high performance standards in quality and productivity metrics
- Identified root causes of recurring issues and contributed to operational improvements
- Recognized as PIO Host Training Top Trainee
- Participated in system testing initiatives to improve user experience and workflows
Consumer Care Lead
Whirlpool Corporation
11.2016 - 01.2020
- Led resolution of escalated customer issues, ensuring high satisfaction and compliance with company standards
- Developed and implemented training programs for new team leads
- Created internal communication tools to improve efficiency between teams
- Mentored team members and supported performance improvement initiatives
- Led continuous improvement projects that enhanced operational efficiency
JennAir Senior Relations Specialist
Whirlpool Corporation
11.2015 - 11.2016
- Investigated and resolved complex customer concerns for high-end clients
- Improved team communication and contributed to knowledge-sharing initiatives
Customer Service Representative
Whirlpool Corporation
10.2014 - 11.2015
- Exceeded sales goals and delivered high-quality customer service
- Provided product knowledge and support to enhance customer experience
Education
Bachelor’s Degree - Liberal Arts & General Studies, Psychology, Business Communications
Tennessee State University
Skills
- Quality Analysis & Evaluation
- Root Cause Analysis & Process Improvement
- Escalation Management
- Data Interpretation & Trend Identification
- Healthcare Operations (Commercial & BlueCard)
- Cross-Functional Collaboration
- Communication & Reporting
- Microsoft Office Suite
- Claims analysis
- Team mentoring
- Troubleshooting and analysis
Accomplishments
All-Time Leading Scorer in Tennessee State University Football History (311 points)
Timeline
Interplan Service Technician
BlueCross BlueShield of Tennessee
09.2022 - Current
Customer Service Expert
BlueCross BlueShield of Tennessee
03.2020 - 09.2022
Consumer Care Lead
Whirlpool Corporation
11.2016 - 01.2020
JennAir Senior Relations Specialist
Whirlpool Corporation
11.2015 - 11.2016
Customer Service Representative
Whirlpool Corporation
10.2014 - 11.2015
Bachelor’s Degree - Liberal Arts & General Studies, Psychology, Business Communications
Tennessee State University