Prabhjot Gagrha
Claims Examiner
About
Detail-oriented professional with experience in claims examination and customer service. Proven ability to analyze medical documentation, resolve complex claims, and maintain high accuracy while managing multiple tasks under strict timelines. Skilled in communicating effectively with clients and providers to ensure efficient processing and positive experiences.
Eager to leverage analytical and problem-solving skills to contribute to Company's success in ensuring accurate and timely claim resolutions and supporting exceptional client outcomes.
Experience
Claims Examiner - Canada Life Assurance Company - Regina
(2023-10)
- Resolved group health and medical claims by meticulously adhering to policy terms, eligibility requirements, and adjudication guidelines. Analyzed medical documentation to verify claim accuracy, ensure compliance, and confirm completeness.
- Facilitated efficient claim processing by communicating with healthcare providers and claimants to address and resolve incomplete or missing information.
- Maintained a high level of accuracy and efficiency while managing multiple claims within strict service timelines.
- Fostered positive client experiences through professional communication, empathetic engagement, and solution-oriented service delivery.
- Applied robust analytical and problem-solving skills to identify claim discrepancies and support prompt resolution.
Fieldwork Student - Sound Athletics - Regina
(2025-09 - 2025-12)
- Assisted in the development and implementation of individualized rehabilitation and exercise support programs tailored to client goals and physical assessments.
- Supported clients through movement assessments, stretching protocols, corrective exercise techniques, and injury prevention strategies.
- Monitored client progress and maintained accurate clinical documentation in accordance with organizational standards.
- Educated and motivated clients during training sessions to promote safe exercise practices and enhance functional outcomes.
- Partnered with trainers and supervisors to support daily operations and deliver exceptional client-centered care.
- Leveraged kinesiology and rehabilitation knowledge in practical settings to refine communication and case coordination skills.
Assistant Front Store Manager - Shoppers Drug Mart #2466 - Regina
(2022-03 - 2022-10)
- Oversaw daily retail operations, including strategic merchandising, precise inventory management, and high-standard customer service delivery. Mentored and coached staff to elevate operational efficiency, foster teamwork, and maximize customer satisfaction.
- Addressed and resolved customer concerns effectively by employing strong interpersonal communication and problem-solving abilities.
- Ensured strict adherence to workplace policies, safety procedures, and operational standards.
Education
Bachelor - Kinesiology and Health Studies - University of Regina (2021-09 - 2025-12)
