Shelby Reid

• Pursue recovery of past and future health care costs, including but not limited to hospital, ambulance, medical, pharmaceutical, rehabilitation and continuing care from Private Insurance Companies within Canada and elsewhere pursuant to the HCCRA, and historical information agreement with private insurers and self-insured corporations
• Thorough understanding of the legislation governing the recovery of health care costs HCCRA
• Determine whether or not there is potential for financial recovery of health care costs and pursues recovery of these costs from the aforementioned companies in Third Party Liability situations
• Determine related health care costs by extracting and adjudicating the records that relate to injuries suffered by an injured Beneficiary (person in receipt of health care services within BC)
• Analyze health care records and extracting related services/treatment with respect to specific cases as identified as Class Actions
• Contact health care agencies to obtain details of health care provided
• Contact insurance adjusters and lawyers to discuss details of injuries, provide advice, options and recommendations for the next steps of final settlement negotiations
• Contact Out Of Province department, Ministry Of Health Services, Health Insurance BC for Out Of Country and Provincial/Territorial hospitals to obtain hospital information as required
• Analyze health care records for accuracy based on information on case file
• Research medical information to clarify diagnosis and treatment on case files
• Experience handling a high volume workload with multiple files, determining priority and meeting rushes and deadlines
• Use sound judgement in the release of medical records/information to lawyers and adjusters using confidentiality guidelines and authority of the HCCRA and Regulation
• Liaise with Ministry of Justice legal team regarding provision of costs and settlement negotiations
• Composing and signing correspondence to injured persons, businesses, and/or injured persons lawyer advising of the Ministry's interest, to learn details of the accident and if a potential insurance claim may be made, and ascertaining which insurer, adjuster or lawyer may be involved
• Composing and signing correspondence to private insurance companies or their representatives advising them of the amount of the Ministry's financial interest and the procedure to follow
• Make determination and authorizing payment of out of country hospital bills when warranted
• Recommends to supervisor approval of cases for 100% recovery
• Responds to inquiries regarding the Ministry's position as to the application of the HCCRA, notice requirements and other ad-hoc inquiries

• Researching, investigating and replying to ICBC adjusters' requests for information on an injured persons
• Contacting ICBC adjusters' regarding hospital stay reports provided by Health Authorities, where notification from ICBC does not exist
• Reviewing historical hospital admissions data for cases not referred by ICBC or reported directly from the Health Authorities
• Following up on discrepancies between ICBC Vendor and Claims System and Follow-Ups received from adjuster and resolving issues
• Reviewing medical histories for missing hospital stays, readmissions, and diagnosis relative to accidents
• Performs computer searches and interprets relevant information to complete missing hospital stay reports
• Contacting Out of Province Branch, Out of Country Branch, Provincial/Territorial hospitals to obtain hospital information with regard to ICBC related MVA's
• Monitoring and preparing statistical information on all BC hospitals and related facilities with respect to completion of accident reports on an ongoing basis
• On an annual basis reviews all ICBC claims to ensure accounts are active

Supports recovery of health care costs under the Health Care Cost Recover Act:

• Preparing letters as per instruction from the Administrator and Ministry of Attorney General staff
• Preparing legal documentation to release payor in cases of settlement
• Processing requests for medical and hospital histories, from branch staff, insurers and law firms
• Reviewing database for files reaching limitation period and provides information to Administrator for review
• Receiving all notifications as required by the HCCRA, reviews database for existing cases, creates new case file if necessary and provides to Analyst for assignment

• Set up and updated Excel spreadsheets to track financial data.
• Organized budget documentation and tracked expenses to maintain tight business controls.
• Interacted with customers by phone, email, or in-person to provide information.
• Produced high-quality communications for internal and external use.
• Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
• Experience in a complex accounts payable environment
• Experience using Oracle Financials
• Responsible for supporting financial and business systems development
• Ministry-wide training in financial processes and functions, year-end, quarterly and monthly accounting and reporting, processing expenditures
• Corresponding effectively and accurately with clients in writing and on telephone
• Managing the financial signing authorities matrix; monitoring the tendering, awarding and managing of contracts
• Responsible for creating, transferring and closing all petty cash accounts

• Applied advanced administrative and analytical skills in overseeing day-to-day office accounting procedures.
• Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
• Coordinated communications, financial processing, registration, recordkeeping, and other administrative functions.
• Calculating and depositing up to $50K daily
• Handling customer inquiries and solving billing problems
• Dealing with a diverse customer population in an appropriate manner
• Diplomatically resolving customers complaints on an as-needed basis
• Supervised all new trainees to meet company's expectations
• Maintained all record keeping procedures without error

• Worked in the call center responding to all enquiries regarding property taxes and home owner grant applications
• Answered all property tax enquiries regarding rural areas, municipalities, provincial crown land, reserve land and treaty land
• Processed home owner grant payments and updated accounts
• Advised property owners on whether they were eligible to apply for a regular grant vs. an additional grant, how to apply and submit documents online
• Advised property owners on whether they were eligible for a home owner grant retroactively, as well as, if they were able to qualify for one of the tax deferment programs
• Responded to customer complaints
• Trained new clerks on company procedures and software tools effectively contributing to their integration into the team.