Pathik M.

Experience

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  HVE Healthcare Assessments

  Jul 2017 - Oct 2017

  Clinical Coordinator- Medical Report Reviewer

  - Working knowledge of company policies and procedures, service level agreements, medical terminology and SABS (Statutory Accident Benefits Schedule).- Edited and proof read, facts and clinical content to ensure independent medical examinations reports were accurate and within compliance with scopes of practices and policies. - Conduct annual internal audits to determine compliance rate and non-conformance issues for all customers. - Routinely interact with Physicians, Psychologists and other regulated health professionals to validate and confirm medical determinations.- Review and clarify 8-10 regulated health professional assessment reports per day. Show less

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  Manulife

  Dec 2017 - Feb 2021

  Case Manager

  - Developing, monitoring and implementing innovative vocational rehabilitation service and goal orientated rehabilitation plans for claimants in receipt of short term disability benefits. - Effectively communicate with employees and employers to determine all factors that may influence case complexity, including diagnosis, duration of disability and the presence of non-medical barriers.- Direct contact or meeting with physicians and other health care professionals in order to facilitate more timely return to work for claimants.- Making decision on claims using medical, functional and vocational analysis - Maintain productive relationships with internal team members to maintain service level. Show less

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  Toronto Catholic District School Board

  Mar 2021 - Apr 2023

  Return to Work Officer, Supervisor

  - Develop, coordinate and implement Modified Work Plan resulting from STD, LTD, and other disability related absences. - Conduct negotiations between the injured employee, insurance carriers, the treating physician, and the employee's immediate superordinate to facilitate early and safe return to work. - Prepare performance statistics on modified work program and maximizing usage of the Parklane/HRIS software for efficient claims management. - Act as resource person for Modified Work Committee, keeping the Committee informed of T.C.D.S.B.'s practices and procedures and current legislation as well as providing the Committee with necessary statistical reports and expertise on all sick leave related matters.- Prepare submissions for grievances and arbitration for supervisors' review. Show less

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  St. Joseph's Health Centre, Toronto

  May 2023 - now

  Abilities Specialist