Reporting to the Manager of Disability Management, the Disability Claims Coordinator is responsible for end-to-end occupational and non-occupational claims management across Canada.
The Disability Claims Coordinator will coordinate claims reporting, tracking, objections, appeals, and facilitate return to work to minimize lost time, while ensuring compliance with various WCB / STD / LTD policies and legislation.
In the role, you will directly manage complex claims by applying comprehensive case management principles in close collaboration with human resources and operations to reduce the financial impact of occupational injury / illness claims.
Key Responsibilities :
- Access, review and process non occupational and occupational claims
- Manage the claims and return to work process, including the timely completion of required documentation
- Advise managers, HR and Business leader on best practices for all work-related injuries / illness while meeting legislative and contractual requirements
- Prepare claim appeals including performing file reviews and drafting formal employer submissions to support claims cost relief
- Maintain confidential and sensitive information, including documentation / records and relevant details throughout the life of claim
- Develop injury and trending analysis for all regions
- Prepare detailed statistical trend analysis and develop reports and presentations including the preparation of graphs and charts
- Creating clearance certificates and completing contractor agreements
- Initiate and lead return to work meetings with all stakeholders when required
- Support the field H&S Team with respect to all disability management related matters
- Conduct case assessments, contacting the employee and their direct manager to explain the
disability management process and gather information for assessment purposes
- Review job demands and identify suitable work while adhering to the essential duties as they are key elements to ensuring successful return to work solutions that are cost efficient and effective
- Determine an appropriate return-to-work (RTW) plan with the employee and the employer and provide active support for the RTW planning process between stakeholders
- Manage transitions from STD to LTD when applicable
- Additional tasks as assigned
Knowledge, Skills and Competencies :
- College Diploma or University Degree specializing in Human Resources
- Strong interpersonal and communication skills, with ability to professionally communicate both verbally and written with employees and outside partners
- Comprehensive understanding of occupational disability management, specifically WCB / CSST / STD and LTD
- Comprehensive and / or working knowledge of Occupational Health and Safety legislation and Employment Standards Act
- Must be well organized and detailed oriented
- Self-starting proactive individual who can work well independently and in a team environment
- Proficient in using Microsoft Excel, Word, Outlook and PowerPoint, and ability to learn HRIS
- Valid G driver’s license and access to a vehicle as travel is required
- Able to work well under pressure and meet set deadlines
- Bilingual fluency in English and French
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