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Tiffinni Bryant

@tiffinnibryant

Quality and Reporting Analyst at Health Care Service Corporation, using SQL and SAS to analyze performance and report actionable insights.

United States

Message

At Health Care Service Corporation, I conduct quality audits and analyze operational data to identify trends, risks, and process gaps. I develop monthly and quarterly reports and present actionable insights to leadership.

I use SQL, SAS, Excel, SharePoint, Power BI/Tableau, and relational databases for analysis and reporting. I also serve as a subject matter expert during internal and external audits.

Previously at Health Care Service Corporation, I worked in provider data maintenance and health coordination. Earlier, I handled claims at State Farm and mortgage servicing at Bank of America.

Experience

Work history, roles, and key accomplishments

Current

Quality and Reporting Analyst

Current

Health Care Service Corporation

Aug 2024 - Present (2 years 2 months)

Conduct quality audits to ensure compliance with internal policies, BCBSA, NCQA, and state/federal regulatory requirements. Analyze operational data and performance metrics to identify trends, risks, and process gaps.

SQL SAS Excel SharePoint Power BI Tableau Relational Databases Data Analysis Reporting Compliance Audit

Sr Prov Data Maintenance Spec

Health Care Service Corporation

Jun 2022 - Aug 2024 (2 years 2 months)

Responsible for analyzing, researching, and applying business rules to complete provider data requests for claims processing, membership assignment, and directory purposes. Supports contracting, credentialing, and maintaining provider data across all lines of business.

Data maintenance Provider Data Management Contracting Credentialing Business Rules Project Support Workflow Management Process Improvement

Health Coordinator

Health Care Service Corporation

Jan 2019 - Jun 2022 (3 years 5 months)

Perform outreach and follow-up to members, educate on medical management programs, and complete data entry. Provide support to clinical teams and serve as a liaison for medical necessity review and network steerage.

Outreach Data Entry Customer Service Medical Management HIPAA compliance Communication Skills Case Management Support

Customer Advocate I

Health Care Service Corporation

Nov 2017 - Jan 2019 (1 year 2 months)

Researched and responded to telephone and written inquiries within statutory time frames. Collected non-clinical data, determined benefit levels, and pended cases for clinical review.

Customer Service Research Benefit Determination Data Collection Case Management Communication Skills

Claims Adjuster

State Farm

Sep 2016 - Oct 2017 (1 year 1 month)

Handled inbound calls, reviewed information, issued payments, and resolved claims. Communicated with customers professionally and worked in a collaborative team environment.

Claims Handling Customer Service Communication Skills Multitasking Problem Solving Teamwork

Mortgage Servicing Specialist III

Bank of America

Jun 2009 - Sep 2016 (7 years 3 months)

Underwrote non-GSE loans and worked with investors for approval. Provided support to homeowners in financial distress and educated them on workout options to avoid foreclosure.

Underwriting Loan Modification Loss Mitigation Customer Service Financial Analysis Communication Skills Compliance