EIEvan Irani
@evanirani
Dynamic Complex Claims Specialist with expertise in case management.
CanadaWhat I'm looking for
I am a Complex Claims Specialist with extensive experience in analyzing medical documentation and coordinating with healthcare professionals to streamline claim processing. My career has been dedicated to facilitating claim resolutions by establishing thorough recovery plans and fostering strong client partnerships. I pride myself on my exceptional communication skills and my ability to adhere to service guidelines, ensuring that every claim is handled efficiently and effectively.
Throughout my career, I have worked with various organizations, including Desjardins and the Workplace Safety and Insurance Board. My roles have involved analyzing disability claims, coordinating with medical professionals, and developing long-term client relationships. I have a proven track record of utilizing case management software to assess cases and plan for optimal outcomes, always striving to support individuals in their return-to-work journeys.
My educational background includes an Honours Bachelor of Kinesiology from Lakehead University, where I completed a senior thesis on the reliability and validity of movement measures. I am passionate about leveraging my skills in research, analysis, and problem-solving to enhance strategic return-to-work planning and contribute positively to the organizations I work with.
Experience
Work history, roles, and key accomplishments
Complex Claims Specialist
Desjardins
Jan 2022 - Present (3 years 6 months)
Analyzed medical documentation and occupational requirements using case management software to accurately determine disability duration for STD and LTD claims. Coordinated with medical professionals, employers, and rehabilitation experts to establish and monitor recovery plans, leveraging case management and occupational rehab expertise.
Eligibility Adjudicator
Workplace Safety and Insurance Board (WSIB)
Jan 2021 - Present (4 years 6 months)
Proactively collected information from workplace parties and healthcare providers required for eligibility decisions and responded to inquiries. Assessed cases and planned towards best outcomes, communicating pertinent updates on worker capabilities and required restrictions to employers and healthcare providers.
Absence Management Consultive Services (AMCS) Intake Case Manager
Manulife Insurance
Jan 2020 - Present (5 years 6 months)
Conducted Functional Interviews with employees to gather information necessary to determine if their absence was medically supported under their Short Term Disability benefits. Collaborated with employees, employers, and healthcare providers to formulate individualized gradual return-to-work plans, ensuring successful reintegration into roles.
Kinesiologist
CBI Health Centre
Jan 2019 - Present (6 years 6 months)
Treated Motor Vehicle Accidents (MVA), LTD, WSIB, and private patients in a multi-disciplinary clinical setting. Designed and implemented therapeutic rehabilitation programs to meet identified client needs and assisted with return-to-work planning.
Education
Degrees, certifications, and relevant coursework
LULakehead University
Honours Bachelor of Kinesiology, Kinesiology
2011 - 2015
Completed an Honours Bachelor of Kinesiology, focusing on human movement and health. Conducted a senior thesis examining the reliability and validity of measures from Delseys Wireless Accelerometer for Human Movement Gait.
Tech stack
Software and tools used professionally
Availability
Location
CanadaAuthorized to work in
Job categories
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