Management Specialist Rehabilitation

SAFWAN DESAI

*** ****** ***.

Toronto, ON

M*J *Z1 · 647-***-****

************@*******.***

To secure a rewarding position in an organization, where my proven and developing skills will allow me to contribute to the goals of an organization and allow me to further my professional growth.

EXPERIENCE

JUNE 2021 – PRESENT

ABILITIES MANAGEMENT SPECIALIST, NORTH YORK GENERAL HOSPITAL

Responsible and accountable for all claims management and adjudication of claims.

Receives, reviews, and interprets medical documentation and based on this review approves or denies sick leave benefits.

Provides proactive disability management services to employees for occupational and non-occupational illness or injury

Develop and maintain effective working relationships both internally and externally such as employees, employee’s health care professionals, third party providers e.g. workplace safety and insurance board (WSIB), LTD, Unions, employee’s manager and human resources

Collaborate with workplace parties to resolve barriers to successful and sustainable accommodations and return to work plans

Review job demands and identify suitable work for returning employees

Actively pursues second injury cost relief, where appropriate, with WSIB to help reduce insurance claims cost to the organization

FEBRUARY 2019 – JUNE 2021

SENIOR DISABILITY CLAIMS SPECIALIST, rbc insurance

Working as a certified claims specialist responsible for adjudicating short term and long term disability claims as well as WSIB disability claims;

Experienced in complex case management, involving multiple stakeholders (Occupational Health Nurses, Rehabilitation Specialist, Safety Specialist and the Occupational Health Physician, WSIB);

Coordinated safe return to work plans with healthcare professionals, employers and unions;

Requested and examined medical, financial and policy documentation to determine eligibility for disability benefits;

Composed and liaised communications between clients, employers, and others (TPAs, WSIB, WCB, HR, lawyers);

Referred clients to rehabilitation, paramedical services and external employee assistance programs when appropriate;

Read and reviewed contracts and policies between RBC insurance and Employers;

Strong understanding of medical conditions, duration of recovery guidelines and resulting work restrictions;

JUNE 2018 – FEBRUARY 2019

CLAIMS SERVICES REPRESENTATIVE AND AUDITOR, NexgenRx

Provide professional support to health care providers and other third party administrators;

Conducted audits of pharmacies, dental offices and other extended health practitioners;

Updated provider policies when issues transpired;

Reviewed agreements for errors, code providers, generate provider letters and mail using Adobe and indexing documents;

Responded to inquiries regarding providers’ contractual and financial concerns;

Maintained a database of audits and resolved queries directly from pharmacies.

DECEMBER 2017 – JUNE 2018

PHARMACY ASSISTANT, IDA PHARMACY/Rexall pharmacy

Responsible for dispensing, compounding, stocking and ordering of medication;

Quickly learned and adapted to the pharmacy software (Fillware);

Managed Over the counter stock and inventory;

Increased Over the counter sales 15% from year prior;

Spoke and communicated directly with doctors and other prescribers regarding patients treatment plans and appropriate dosing.

MAY 2016 – AUGUST 2016 (BLACKPOOL, UK)

HEALTH AND SAFETY ASSISTANT Blackpool Victoria hospital

Assured in reviewing all Health and Safety compliance on site, delivering accurate reports and creating action plans against trends;

Ensures all Health & Safety targets and standards are met at all times;

Monitor near misses and proactively supports managers to complete floor walks routinely, whilst supporting managers to investigate potential hazards and accidents using the reporting tools available;

Assisted in the delivery of Health and Safety training on site for new and existing colleagues and managers.

EDUCATION

SEPTEMBER 2013- JULY 2017 (PRESTON, UK)

MSC PHARM SCI, UNIVERSITY OF CENTRAL LANCASHIRE

Graduated with a Master’s degree in Pharmaceutical Science

Licensed member of General Pharmaceutical Council

Areas of study include: Pharmacotherapy, toxicology, anatomy, physiology, organic/inorganic chemistry, histology, patient care.

FEBRUARY 2016- MAY 2016 (BLACKPOOL, UK)

CO-OP AT BLACKPOOL VICTORIA HOSPITAL

Shadowed pharmacist around wards and interactions with patients and specialists;

Spoke directly with in-patients regarding medication and medication history;

Initiated treatment plans specific to each patient under supervision of lead pharmacist;

Followed doctors requests and found appropriate clinical dosing for patients.

SKILLS

Outstanding communication skills; both verbal and written

Multilingual in French, Gujarati and English

Competent in use of Microsoft Office applications (Excel, Word, Access, Power Point, Visio)

Superior interpersonal skills, positive attitude, and very patient

Great organizational skills and multitasking abilities

Ability to learn technical concepts and processes very quickly

Takes initiative, self directed, self motivated, and detail oriented

REFERENCES AVAILABLE UPON REQUEST

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