Summary
Overview
Work History
Education
Skills
Languages
Work Preference
Timeline
Generic

Hardik Agrawat

Hamilton,ON

Summary

Dynamic Disability Case Manager at Canada Life with expertise in claims processing and strategic planning. Proven ability to enhance patient education and foster multidisciplinary team collaboration, resulting in improved client outcomes. Skilled in navigating complex insurance practices while empowering clients through informed decision-making and effective communication.

Overview

8
8
years of professional experience

Work History

Disability Case Manager

Canada Life
Hamilton, Ontario
07.2024 - Current
  • Managed assigned disability claims (STD, LTD, Life Waiver) by evaluating medical information and job duties.
  • Evaluated disability extent through effective communication with applicants, employers, physicians, and legal representatives.
  • Applied critical thinking to make informed decisions based on comprehensive claim assessments.
  • Implemented return-to-work programs in collaboration with employers to facilitate smooth transitions.
  • Coordinated health care and rehabilitation programs focused on achieving employability goals.
  • Monitored ongoing cases to ensure timely processing and resolution of claims.
  • Developed strong relationships with clients, caregivers, and service providers for enhanced support.
  • Educated clients on rights, benefits, entitlements, and self-advocacy skills to empower decision-making.

Case Manager/ Reimbursement Specialist

Specialty Health Network by Shoppers Drug Mart
Mississauga, Canada
01.2024 - 02.2024
  • Primary point of contact for patients and prescribing physicians, ensuring seamless communication and support.
  • Proficient in conducting welcome calls, gathering patient information, and obtaining the necessary consent for enrollment.
  • Knowledgeable about program offerings, including case management, reimbursement support, and training.
  • Demonstrates expertise in relevant molecules, pathways, and medications for informed patient assistance.
  • Maintains a deep understanding of reimbursement mechanisms within the assigned territory, including public, private, and manufacturer's assistance insurance protocols.
  • Skilled in advocating for patients, exploring funding options, administering financial means tests, and efficiently coordinating program services while promptly reporting adverse events and product technical complaints.

Care Coordinator Manager

Pt Health (Flamborough Physiotherapy and Rehabilitation)
Waterdown, Canada
11.2022 - 01.2024
  • Coordinated with other health professionals to develop individualized plans of care for patients.
  • Provided case management services to ensure the delivery of quality care.
  • Assisted with the hiring, training, and scheduling of clinic staff.
  • Maintained accurate client records under agency policies and procedures.
  • Managed the patient base under various categories like OHIP, ODSP, OW, WSIB, MVA, and privately funded.
  • Coordinated regularly with Lawyers, Case managers, and adjustors for pending payments, treatment plan approvals, and patient recovery.
  • Managed accounts payable and receivable functions for the clinic, including budgeting and financial planning activities.
  • Prepared monthly reports on operational performance metrics such as revenue growth, cost savings initiatives and customer satisfaction ratings.
  • Analyzed data from surveys conducted among patients regarding their experience at the clinic.
  • Supervised front desk to manage check-ins and check-outs, verify insurance and collect payments.
  • Coordinated patient referrals to specialists or other healthcare providers as needed.

COVID-19 Screener

Carraway Agency
Etobicoke, Canada
10.2021 - 11.2021
  • Assisted patients with completing COVID-19 screening forms and questionnaires.
  • Monitored patient flow within the facility while enforcing social distancing rules.

Medical Officer

Niruj Rheumatology Clinic
Gujarat, India
08.2019 - 08.2021
  • Scheduled appointments, registered patients, and verified appointment times with patients, Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op reports, test results, home care forms).
  • Verified patient's eligibility by looking into medical insurance.
  • Monitored patient progress and adjusted treatments accordingly.
  • Coordinated with other healthcare professionals to ensure optimal patient care.

Medical Officer

Saviour Hospital
India, India
06.2018 - 07.2019
  • Handled post-operative patients of TKR and THR.
  • Drafted reports for executive staff on employee practices.
  • Reviewed complex claims and incidents to assess correct response.
  • Conducted meetings with department heads to coordinate standardized procedures.
  • Facilitated referrals to specialists when necessary.
  • Provided guidance and mentorship for junior medical staff members.

Medical Officer

Aman Children Hospital
India, India
05.2017 - 05.2018
  • Tackling the emergency of patients under the guidance of a treating consultant.
  • Evaluated patient records to assess trends and develop improvement plans.
  • Assisted senior staff with overseeing department procedures, Monitored and reported behavioral improvements.
  • Implemented the use of nutritious meal planning and preparation to enhance therapy given.
  • Conducted and created projects to enhance verbal and motor skills, Transport and accompanies the client to doctor's appointments and support the client's independence regarding medications.

Education

Post-Graduation Diploma In Healthcare Administration And Service Management -

Conestoga College
Brantford, ON

Bachelor In Homoeopathic Medicine and Surgery -

Dr. V.H Dave HomoeopathicMedical College
Gujarat, India

Skills

  • Progress Monitoring
  • Multidisciplinary Team Collaboration
  • Medical Terminology
  • Insurance Practices
  • Organizational Skills
  • Claims Processing
  • Strategic Planning
  • Healthcare Operations
  • Case Management
  • Patient Education

Languages

Full Professional, Native/ Bilingual, Full Professional, Native/ Bilingual

Work Preference

Job Search Status

Networking only

Work Type

Full Time

Location Preference

Remote

Salary Range

$75000/yr - $1200000/yr

Timeline

Disability Case Manager

Canada Life
07.2024 - Current

Case Manager/ Reimbursement Specialist

Specialty Health Network by Shoppers Drug Mart
01.2024 - 02.2024

Care Coordinator Manager

Pt Health (Flamborough Physiotherapy and Rehabilitation)
11.2022 - 01.2024

COVID-19 Screener

Carraway Agency
10.2021 - 11.2021

Medical Officer

Niruj Rheumatology Clinic
08.2019 - 08.2021

Medical Officer

Saviour Hospital
06.2018 - 07.2019

Medical Officer

Aman Children Hospital
05.2017 - 05.2018

Post-Graduation Diploma In Healthcare Administration And Service Management -

Conestoga College

Bachelor In Homoeopathic Medicine and Surgery -

Dr. V.H Dave HomoeopathicMedical College
Hardik Agrawat