Jyothsna Kamsu
Royal Leamington Spa
Summary
Dynamic and enthusiastic professional with 4 years of Experience in Healthcare and customer service domain. Proficient in providing exceptional customer service, patient care and counselling. Graduated in Pharmacy (RQF level 6), working towards GPHC membership.
Overview
2027
2027
years of professional experience
1
1
Certification
Work History
Pharmacy Advisor
Boots Pharmacy
, Warwickshire
06.2025 - 04.2026
- Supported the Pharmacist in ensuring safe, effective, and patient-centred dispensing of medications.
- Provided over-the-counter advice on prescriptions, minor ailments, and health products in line with GPhC standards.
- Monitored stock levels, ensured accuracy in labelling and record-keeping, and maintained compliance with SOPs.
- Delivered outstanding customer service by educating patients on medication use, side effects, and lifestyle management.
- Collaborated with healthcare professionals to organise public health campaigns, flu vaccinations, and medication reviews.
Quality Control Analyst
Carelon Global Solutions (CGS)
Hyderabad
05.2020 - 04.2024
- Audited the In-patient and Out-patient Claims Processing accuracy of a team of 40 associates every month.
- Collaborated with our Onshore Process Experts to streamline process and maintain the International Quality Standards via Teams and Office Outlook.
- Mentored 5+ new auditors enabling them to gain expertise in QA.
- Conducted Quality sessions and calibration connects with the operations team to minimise process gaps.
- Monitored Quality data and generated Reports in Excel to identify trends in the Insurance Sector.
- Collected and analysed huge datasets to simplify complex information to diverse stakeholders, supporting insurance activities.
- Presented and demonstrated Team Quality scores via MS PowerPoint.
- Drove customer escalations to resolution by engaging directly with clients.
- Hyderabad, India
Claims Associate
Carelon Global solutions
Hyderabad
05.2020 - 03.2023
- Reviewed Policy Contracts of members and assessed their eligibility to claim the Insurance while determining the Cover level.
- Processed 40+ claims daily and resolved the member inquiries for enhanced customer experience.
- Maintained Quality and Productivity targets at 100 percent on adaily basis to ensure smooth business operation.
- Trained 15+ new hires in Understanding the Claims adjudication process. • Achieved positive claim outcomes through careful case management.
- Managed diverse Insurance portfolios under both US federal insurance (Medicare, Medicaid, Tricare) and Commercial insurance.
- Advised clients on the Policy types like HMO, PPO, POS, and Indemnity plans based on the individual requirements.
- Performed Inbound and Outbound calls to Various stakeholders for effective business operations.
- Safeguarded Confidentiality in members' protected health information by adhering to HIPAA policy guidelines.
Intern
Chandra Labs
- Interned at Chandra Labs a certified Pharma analytical testing laboratory.
- Undergone Instrumentation training for HPLC, GC, FT-IR, and UV-visible spectrophotometer.
- A certified Pharma analytical testing laboratory
Education
Bachelor of Pharmacy (RQF level 6) - Pharmacology and Pharmaceutics
Malla Reddy Institute of Pharmaceutical Sciences
India05.2019
Skills
- Cross-disciplinary communication and Presentation
- Customer service
- Leadership
- Teamwork
- Analytical ability
- Adaptability
- Public Speaking
- Content Creation
- Pharmacology
- Dispensing
- Claims Auditing
- Root cause analyzing strategies using Fishbone analysis
- Pareto charts
- Lean Six Sigma
- Claims adjudication in Healthcare
- Actuarial science
- MS PowerPoint
- Word and Excel
- Wellpoint systems
- Epic Software
Certification
- Certified Quality Analyst
- Licensed Pharmacist
Affiliations
- Member of Chartered Insurance Institute
- Introduction to Life Insurance course
Custom Section
- Diploma in Pharmacy Technician, CPD certified
- American Health Insurance Management, CGS
- RQF Level 7, MBA in Operations Management
Internship
Chandra Labs, Interned at a certified Pharma analytical testing laboratory, Undergone Instrumentation training for HPLC, GC, FT-IR, and UV-visible spectrophotometer
Websites, Portfolios and Profiles
https://www.linkedin.com/in/jyothsna-kamsu-70043216a/
Volunteer Experience
- Vande Mataram Youth Front (VMYF) NGO, Hyderabad, India, Educate Poor Children
- CBIT College, Street Cause
Hobbies and Interests
- Gardening
- Reading Books
- Hiking
- Classical Dance
- Yoga
- Acting
Timeline
Pharmacy Advisor
Boots Pharmacy
06.2025 - 04.2026
Claims Associate
Carelon Global solutions
05.2020 - 03.2023
Quality Control Analyst
Carelon Global Solutions (CGS)
05.2020 - 04.2024
Intern
Chandra Labs
Bachelor of Pharmacy (RQF level 6) - Pharmacology and Pharmaceutics
Malla Reddy Institute of Pharmaceutical Sciences