Kamlawattee Rai
Davenport
Summary
Dedicated professional prepared to bring extensive expertise and results-oriented approach to Specialist role. Known for effectively managing tasks and supporting organizational goals through collaborative efforts and adaptive strategies. Recognized for excellent communication and analytical skills, ensuring seamless operations and consistent outcomes.
Overview
6
6
years of professional experience
Work History
REMS Specialist
Syneos Health
03.2024 - Current
- Handles inbound and outbound communication, as well as processes all REMS stakeholder forms in accordance with Syneos Health and the REMS Program requirements
- Triages and report adverse events and product complaints, as well as entering accurate data into the applicable program applications
- Complete follow-up for missing/updated information from stakeholders (patients, healthcare providers, pharmacies, etc.), including data entry processing, documentation, and safety reporting per program guidelines
- Ensure document/data processing, data corrections and all communication are documented accurately, concisely and in a timely manner
- Maintain a working knowledge of program guidelines, product or disease state information for the assigned program(s)
- Participate in program specific training and other development programs and demonstrate
- Conduct pre and post call analysis of calls
- Respond to stakeholder inquiries and provide education or information
- Answer incoming and perform outgoing calls in a professional manner following client guidelines and business rules
- Identify any areas that are potentially troublesome and follow up with the stakeholder to ensure that issue is resolved
- Identify and escalate priority issues or suspected noncompliance event to assigned manager or
- Troubleshoot IT/ technical inquiries
Benefits Representative
Highmark Blue Cross Blue Shield
11.2022 - 02.2024
- Verify and interpret commercial policy benefits to providers pertaining to procedures, medications, and infusion drugs by CPT and REV codes
- Confirmed patient eligibility
- Research claim denials, provided claim details, investigate incorrect rejections and re-submit for reprocessing
- Communicated outcome regarding investigation
- Assists with inquiries from providers regarding credentialing, re-credentialing, participation requirements and contractual issues
- Assist with spending accounts, health and prescription coverage details that include copays, covered services and medications, out of pocket expenses and deductibles
- Provide authorization status, initiate auth, appeals and peer to peer
- Maintain Quality Assurance scores of 95%-100% Consistently each month
Real Estate Agent
LA Rosa Realty
10.2020 - 11.2022
- Counsel clients on market conditions, prices, and refer to mortgage companies
- Develop a competitive market comparison to show property value
- Promote properties with ads, listings, and open houses
- Show properties to potential buyers and renters; Prepare loyalty contracts, purchase agreements, rental agreements, deeds, and other documents for each real estate transaction
- Present purchase offers to sellers; Facilitate negotiations between buyers and sellers
- Review purchase contracts to ensure terms are met
Customer Account Representative
Houghton Mifflin Harcourt
09.2019 - 10.2020
- Perform Order entry of Purchase orders with SAP, Esker and Salesforce applications
- Handle daily case load to provide response to customer inquiries regarding product availability, pricing
- Collaborate and provide aid other departments with overflow work
- Process claims for damage and replacement merchandise
- Review incorrect billing and ensure applicable corrections are completed
- Provide support to Account Executives and retailers via phone with order entry, claims, permissions requests, Invoice inquiries, invoice payments
- Ranked in the Top 5 in Quality and Net Promoter Score Surveys each month
Education
High School Diploma -
Northeast High School
Fort Lauderdale, FLSkills
- Client Engagement
- Critical Thinking Skills
- Analytical thinking
- Documentation management
- Multitasking
- Time management
- Proficient in Microsoft office
- Attention to detail
- Benefits explanation
- Healthcare benefits
- Medical terminology proficiency
Timeline
REMS Specialist
Syneos Health
03.2024 - Current
Benefits Representative
Highmark Blue Cross Blue Shield
11.2022 - 02.2024
Real Estate Agent
LA Rosa Realty
10.2020 - 11.2022
Customer Account Representative
Houghton Mifflin Harcourt
09.2019 - 10.2020
High School Diploma -
Northeast High School
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