Davinisha Boldene
Dallas,TX
Summary
Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives. Resourceful and results-driven with a passion for growth and efficiency to meet company needs and increase service value.
Overview
6
6
years of professional experience
Work History
Implementation Manager
Randstad/Cigna
Dallas, TX
06.2023 - 05.2024
- Drive and manage multiple, assigned implementation projects from initial customer engagement through planning, execution, and launch phases - managing all key steps and stakeholders of each project.
- Serve as the senior subject matter expert for both customers and team members.
- Review, analyze, and repair data from a variety of data sources in support of new Verity Solutions v340B.
- Develop initial operations relationship with customers to understand their 3408 program, pain points and other pertinent data to develop clear success factors around their implementation.
- Ensure a positive onboarding experience with Verity's software solutions including oversight to ensure accurate customer data extract set ups, wholesaler interactions, and configuration for software solutions.
- Responsible for thorough training on software functions and key customer interactions to facilitate smooth and confident transition to 'live' project state and transition to account management as applicable.
- Oversaw implementation lifecycle processes based on organizational needs, regulatory requirements, and customer demand.
- Negotiated contract terms with vendors and suppliers to secure favorable pricing for clients while maintaining high-quality service delivery standards.
- Troubleshot technical issues during implementations, working closely with IT teams to resolve problems quickly and minimize downtime for clients involved in specific scenarios encountered.
- Exceeded client expectations by delivering high-quality solutions tailored specifically to their unique needs and requirements consistently throughout projects undertaken over time range.
DOCUMENT PROCESSOR
Adecco
US
02.2023 - 06.2023
- Responsible for end-to-end document processing across all core functions
- Consistently meet or exceed quality and productivity standards
- Display exceptional focus and attention to detail, maintaining strong quality standards to minimize rework
- Adapt readily to changes in daily work assignments
- Safely operate mail center automated equipment, including troubleshooting and escalation when necessary
- Timely escalate observed issues and address them appropriately
- Operate within a highly regulated, high security environment; adhere to all departmental and corporate policies and procedures, dress code, client requirements and compliance guidelines.
CASE COORDINATOR
Payd Health
US
01.2021 - 08.2022
- Successfully collaborated with community organizations to enhance outreach efforts and highlight program successes
- Confirm the presence of necessary documents within submitted claims
- Validate the accuracy of medical codes provided in claim submissions
- Assess the eligibility status of claims based on established criteria
- Review and verify other insurance coverage information in submitted claim
- Evaluate authorizations provided in claim submissions for accuracy
- Analyze account benefit plans to ensure claims align with coverage and policies
- Identify discrepancies, errors, or missing information
- Utilize multiple computer applications simultaneously
- Maintain self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without close supervision
- Meet or exceed quality and productivity goals
- Demonstrated expertise in coordinating individual referrals for community services, effectively advocating for needs and overcoming obstacles
- Administered and followed case management protocols, including patient follow-up, data collection, clinical monitoring, and liaison with primary healthcare providers
- Managed a substantial workload of over 500 policy renewals annually
- Conducted thorough research on coverage and premium options to recommend optimal solutions for clients
- Presented and explained insurance policy options to clients based on their specific needs and objectives
- Proficiently handled various administrative tasks, such as phone calls, email responses, and data entry into computer systems
- Collaborated with PBM, Pharmacy department, and insurance departments to resolve complex issues.
CUSTOMER SERVICE REPRESENTATIVE
Iqor
US
01.2018 - 06.2020
- Provided primary customer support in a fast-paced, high call volume environment
- Developed an in-depth understanding of product information, enabling the provision of knowledgeable responses to diverse customer inquiries
- Assisted in conflict resolution and complaint handling, consistently delivering excellent customer service
- Resolved customer issues efficiently and effectively
- Continuously enhanced sales abilities and product knowledge to meet and exceed quotas
- Collaborated with colleagues and managers to resolve challenging and high-level customer issues
- Educated customers on the features and capabilities of new electronic devices and promotions, ensuring they maximized product benefits
- Proactively followed up with customers after merchandise sales to address any last-minute questions or concerns
- Thrived in a rapidly changing and competitive environment, consistently achieving top performance.
Education
DIPLOMA -
North Garland
01.2007
ASSOCIATES OF SCIENCE -
Eastfield community college
01.2001
Skills
- Critical Thinking
- Verbal and Written Communication
- Contract Amendments
- Contract Analysis
Personal Information
Title: Contract analyst
Timeline
Implementation Manager
Randstad/Cigna
06.2023 - 05.2024
DOCUMENT PROCESSOR
Adecco
02.2023 - 06.2023
CASE COORDINATOR
Payd Health
01.2021 - 08.2022
CUSTOMER SERVICE REPRESENTATIVE
Iqor
01.2018 - 06.2020
DIPLOMA -
North Garland
ASSOCIATES OF SCIENCE -
Eastfield community college