Ashlesha Mehta
Regina
Summary
Professional with robust background in claims assessment, skilled in analyzing and evaluating complex information to support accurate decision-making. Strong collaborator, reliable in adapting to changing needs, and focused on achieving results. Expertise in data analysis, risk assessment, and compliance, combined with excellent communication and problem-solving abilities. Known for high standards and delivering impactful outcomes in team environments.
Overview
4
4
years of professional experience
Work History
Medical Claims Assessor
Government of Saskatchewan
05.2024 - Current
- Cleared six months of backlog for special support and senior drug plan applications, achieving a 40% reduction in paperwork.
- Increased payment rates by 30% while processing claims and receipts from Saskatchewan, Alberta, and BC for Saskatchewan Residents.
- Collaborated with care homes to establish best rent rates for residents while providing consultations.
- Achieved a 20% reduction in calls by efficiently managing EDS requests from pharmacies and doctor’s offices.
- Participated in regular meetings with other departments to provide insights on emerging trends in claims activity, influencing strategic decision-making processes within the organization.
- Leveraged data analysis tools to identify trends in claims submissions, guiding future policy adjustments and loss mitigation strategies as per budget constraints.
- Improved claim processing accuracy by implementing a meticulous review system and conducting thorough investigations.
Guest Service Representative Lead
Marriott International
04.2023 - Current
- Organized guest check-ins and check-outs while coordinating with departments on concerns.
- Reviewed daily reports to enhance communication between shifts and document guest issues.
- Accurately handled payment transactions while maintaining strict cash handling procedures.
- Completed product knowledge training to address guest inquiries effectively.
- Developed strong rapport with returning guests, increasing sales by 15% through loyalty initiatives.
- Collaborated with housekeeping and food and beverage departments to improve guest experience.
Pharmacy Assistant
Shoppers Drug Mart
04.2023 - 06.2024
- Process registers transactions, receive payment, make change, process cheques, credit and debit charges.
- Order, receive, tag and stock prescription drugs and supplies.
- Follow product storage procedures and standards.
- Enter prescriptions as well as fill medications accurately while following guidelines with proper doses, generics, brand names, sigs and all instructions as required.
- Bill the prescriptions through third party insurances and government plans to give patients the maximum possible coverage for their prescription drugs.
- Phone call with drug plan and insurances to get the specific drug covered, vacation supplies, weekly dispense, exception drug status approvals.
Developmental Worker
Hope’s Home
04.2021 - 10.2022
- Engage in active supervision to protect and promote the psychological and physical safety, health and well-being of each child being cared for.
- Work with the Physical Development Consultant (PDC) or management to understand child’s Personal Program Plan goals and implement and document the daily activities to enhance child’s growth and meet established goals.
- Develop and implement behavior intervention plans in collaboration with managers and families, then Implement therapies as directed by management and/or supporting professionals to align with each child’s goals.
- Prepare documentation and track occurrences of behaviors by means of Behavior Communication Reports (BCR) and progress notes.
- Participate in meetings with caregivers and professionals as required.
Education
Bachelors - Biology – Kinesiology
University of Regina
Regina, SKCertificate - business and administration
University of Regina
Regina, SKSkills
- Advanced clinical skills
- Medical terminology
- Human anatomy knowledge
- Referral procedures
- Community resource awareness
- Claims policies and procedures
- Problem solving
- Multitasking
- Interpersonal skills
- Accountability
- Written and verbal communication
- Government health program knowledge
- Legal obligations
- Claims investigation and assessment
- Microsoft Office proficiency
- Professional ethics
- Policy interpretation
Timeline
Medical Claims Assessor
Government of Saskatchewan
05.2024 - Current
Guest Service Representative Lead
Marriott International
04.2023 - Current
Pharmacy Assistant
Shoppers Drug Mart
04.2023 - 06.2024
Developmental Worker
Hope’s Home
04.2021 - 10.2022
Bachelors - Biology – Kinesiology
University of Regina
Certificate - business and administration
University of Regina
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