Saili Pradhan
Claims Assistant Accident Benefits @SGI CANADA
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WORK HISTORY
Claims Assistant Accident Benefits @SGI CANADA
Toronto, ON, CA
Creating and assigning new claims to AB adjusters. • Maintaining files for assigned claims into GIS. • Assisting adjusters in sending AB File copies. • Processing the payments of Independent Adjusters files while keeping track of all expense and loss reserves. • Keeping HCAI profiles up to date so that adjusters can make their payments on time. • Keeping records of all incoming mails regarding assigned claims to adjusters by scanning and attaching to GIS, assisting adjusters in sending out letters and settlement cheques to lawyers, claimants etc. • Ensuring all mediations are being sent to respective adjusters for LAT files and arbitrations. • Actively participating with claimants, physicians, treatment providers, employers, rehabilitation workers and other service providers in monitoring of appropriate case management plans for clients. • Assisting Auto PD taking details of new PD claims when reported on phone to help PD assistants open the claim and answering other PD related calls. • Providing quality client service in accordance with claims service standards.
EDUCATION
Terna Public Charitable Trust s College of Physiotherapy, Navi Mumbai
Master of Physiotherapy in Musculoskeletal Sciences
Welingkar Institute of Management
PGDM- Healthcare Management
DES College of Physiotherapy
Bachelors of Physiotherapy
ABOUT SAILI PRADHAN
Highly organized, resourceful & accomplished healthcare management professional with over 5 years of experience in healthcare operations, customer service and project management. A motivated leader with experience in handling large teams.
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