Job Description

The Workplace Safety and Insurance Board (WSIB) helps people overcome workplace injuries and illnesses and helps business owners make their workplaces safe and healthy. Our people are at the heart of what we do. Bring your enthusiasm and expertise to the WSIB, and we’ll help you achieve your personal and professional goals through meaningful work, development opportunities and a culture of compassion, integrity and teamwork.

We are the WSIB. And we’re here to help. 

WSIB offices remain closed due to COVID-19. Our priority is the health and wellness of employees and the people of Ontario. As such, this position may involve working from home for all or part of the duration of this position.

The WSIB is recruiting for current and future unilingual and bilingual opportunities in the following locations: Guelph, Kingston, Kitchener, London, North Bay, Windsor, Sault Ste. Marie, St. Catharines, Sudbury, Thunder Bay, Toronto, Timmins & Windsor

Starting Salary: $84,006.80

Job Summary :

Responsible for the overall management of claims through development, implementation, and monitoring comprehensive and integrated case management plans for all case activities.

Case Managers will be assigned either Pre 1990 cases or the early phase of the case lifecycle or the later phase of the case lifecycle.  Case Managers follow a structured case management framework, to enable them to achieve high quality outcomes and success with case planning and implementation.

Major Duties & Responsibilities

  1. Develop, implement, and monitor comprehensive and integrated case management plans for all activity in the case required to achieve recovery, community integration, and where possible, return to work (RTW) by:
  • Collecting information to progress the case; assessing and positioning each case along its appropriate recovery path; setting goals and making decisions based on legislation, policy, and best practices;
  • Planning activities in collaboration with workplace parties and team members; participating in case conferences with the service delivery team and management; coordinating and taking action on planned activities; reviewing and monitoring new information as received; closing plan activities when active case management is no longer required; following up and evaluating close cases to ensure case management plan continues to be effective;
  1. Provide targeted activities focused on identifying RTW factors, removing obstacles, and leveraging opportunities to facilitate a safe return to suitable work by:
  • Co-ordinating and facilitating RTW cooperation between the workplace parties;
  • Arranging, assessing, and adjusting the delivery of work reintegration services where needed;
    · Promoting prevention, disability management, RTW, and related programs to workplace parties; sharing best practices; connecting workplace parties with expert resources when they would benefit from increased capability to prevent and/or manage injuries and illness;
  • Keeping clients and employers informed of the status and progress of the case, ensuring they are fully engaged in removing barriers to, and planning RTW.
  1. Identify and co-ordinate intervention by internal and external specialty resources and ensure timely and appropriate completion of these interventions and services by:
  • Referring requests for health care entitlement to the Nurse Consultant and liaising as required;
  • Referring requests for equipment, personal care allowance, home/vehicle modifications, and hobbies to the Occupational Therapist and liaising as required;
  • Referring requests for major home modifications to the Independent Living Consultant and liaising as required.
  1. Make entitlement decisions based upon legislation, policy, and best practices and communicate these decisions verbally and in writing to applicable parties by:
  • Providing education on WSIB benefits, policies, and processes while informing parties of their rights and obligations under the Act, and of the consequences of non-compliance;
  • Responding to worker’s and employer’s request for clarification and/or reconsideration;
  • Monitoring employer and worker compliance;
  • Determining if a breach of obligations has occurred, levying penalties and fines and adjusting benefits as appropriate; referring to and /or working collaboratively with Regulatory Services for appropriate action, when required.
  1. Attempt to prevent or resolve disputes.  Handle requests for reconsideration and, if appealed, arrange access and process the objection.
  2. Under the guidance of the Manager, Program Quality, when temporarily assigned, utilize knowledge of the case management framework and understanding of the application of WSIB policies and WSIB Acts to conduct case and telephone quality reviews.
  3. Perform other related duties as assigned or required

Job Requirements

Education

  • University completion at undergraduate level.

Experience

  • Three years prior experience in Adjudication or Case Management and Customer Service.
    •  Adjudication is a process of decision making, gathering and weighing information against guidelines, policy and laws to arrive at an objective outcomes.
    • Case management is a process of assessment, planning, facilitation, and advocacy for options and services to meet an individual’s needs to promote optimal outcomes. Key activities include: collecting information, making decisions, coordination and actioning activities; reviewing, monitoring, guiding and directing cases towards resolution.

As a precondition of employment, the WSIB will require a prospective candidate to undergo a criminal records name check prior to or at any time following hire. 

To apply for this position, please submit your application by the closing date noted above.

We appreciate the interest of all candidates.  Due to the volumes of applications we receive, we are only able to contact candidates that are selected to move forward in the recruitment process. The WSIB is an equal opportunity employer.  

The WSIB is an equal opportunity employer and provides accommodation for job applicants in accordance with the Human Rights Code and the Accessibility for Ontarians with Disabilities Act. If you are an individual with a disability and you need accommodation in order to apply for this position, please contact talentacquisitioncentre@wsib.on.ca. If you are invited to participate in the assessment process, please provide your accommodation needs at that time. Please be advised that you may be required to provide medical documentation to the WSIB’s Corporate Health Department so that appropriate accommodation can be provided to you throughout the recruitment process.

Employees of the WSIB have important ethical responsibilities, including the obligation to place the public interest above personal interests. Job applicants are therefore required to disclose any circumstance that could result in a real, potential or perceived conflict of interest. These may include: political activity, directorship or other outside employment and certain personal relationships (e.g. with existing WSIB employees, clients and/or stakeholders). Please contact TAC if you have any questions about conflict of interest obligations and/ or how to make a disclosure.  

Privacy Statement

Personal information will be collected from your resume, application, cover letter and references under the authority of the Workplace Safety and Insurance Act, 1997 and will be used by the Talent Acquisition Centre and WSIB hiring parties to assess/validate your qualifications and/or determine if you meet the requirements of vacant positions and/or gather information relevant for recruitment purposes. If you have questions or concerns regarding the collection and use of your personal information, contact the WSIB Privacy Office, 200 Front Street West, Toronto, ON, M5V 3J1 or 416-344-5323 or 1-800-387-0750 extension 5323.  Be advised that information related to application status will not be provided. 

Job Posting Details

Job Type

Permanent

Market Segment

Government
Insurance

Company Type

Health Clinic - Rehab

Education Required

University Degree

Expertise Area

Customer Service: Account Management
Administrative: Accounting/Finance
Claims: Actuarial
Life Insurance: AD+D Adjudicator
Administrative: Administration
Administrative: Administration Assistant / Support
Administrative: Administration Clerical
Administrative: administrative
Claims: Appraising
Accounting: Auditing
Other: Auto Estimation
Broker: Broker - Group
Broker: Broker - Marketer
Broker: Broker - Producer
Sales: Broker - Producer
Broker: Broker Management
Broker: Broker-Commercial
Broker: Broker-Customer Service
Broker: Broker-Personal
Other: Business Analysis
Customer Service: Call Center
Management: Call Centre Management
Restoration/Damage Repair/Extraction/Cleaning: Carpentry
Life Insurance: Case Manager
Claims: Claims
Claims: Claims - Accident Benefits
Life Insurance: Claims - Adjudicator
Claims: Claims - Aviation
Claims: Claims - Bonds
Claims: Claims - Casualty
Claims: Claims - Casualty-Liability
Claims: Claims - Disability
Claims: Claims - Liability
Claims: Claims - Life
Management: Claims - Management
Claims: Claims - Marine
Claims: Claims - Multi Line
Claims: Claims - Physical Damage
Claims: Claims - Property
Claims: Claims Adjusting
Claims: Claims Examining
Claims: Claims Re-Inspection
Claims: Claims-Auto
Claims: Claims-Bodily Injury
Claims: Claims-Litigation
Claims: Claims-Support
Administrative: Clerical
Other: Communications
Accounting: Compliance-Regulatory
Administrative: Computer Proficiency
Restoration/Damage Repair/Extraction/Cleaning: Construction
Human Resources: Consultant
Restoration/Damage Repair/Extraction/Cleaning: Content Technician
Customer Service: Customer Service
Customer Service: Customer Service - Commercial
Customer Service: Customer Service - Employee Benefits
Customer Service: Customer Service - Group
Broker: Customer Service - Group
Customer Service: Customer Service - Personal
Management: Customer Service-Management
Administrative: Data Entry
Management: Executive Management
Accounting: Financial Services
Government: Government
Underwriting: Group Benefits
Life Insurance: Group Consultant
Life Insurance: Group Underwriter
Administrative: Human Resources
Other: Information Technology
Claims: Investigation
Other: Legal
Life Insurance: Life Agent
Other: Life Insurance
Life Insurance: Life Underwriter
Restoration/Damage Repair/Extraction/Cleaning: Loss Assessment and Evaluation
Claims: Loss Control/Prevention
Life Insurance: LTD Adjudicator
Management: Management
Other: Marketing
Claims: Medical Terminology
Life Insurance: New Business Administrator
Other: Operations
Management: Operations Management
Other: Other
Management: Product Manager
Other: Programming
Other: Project Management
Restoration/Damage Repair/Extraction/Cleaning: Project Management
Claims: Property Evaluation
Other: Quality Assurance
Administrative: Recruitment
Other: Regulation of Insurance Institutions
Claims: Rehabilitation
Other: Reinsurance
Accounting: Reinsurance Accounting
Broker: Reinsurance Broker
Restoration/Damage Repair/Extraction/Cleaning: Restoration
Restoration/Damage Repair/Extraction/Cleaning: Restoration Management
Underwriting: Risk Control
Underwriting: Risk Management
Restoration/Damage Repair/Extraction/Cleaning: Roofing
Sales: Sales
Sales: Sales Agent
Information Technology: Software Development
Claims: Special Investigations
Life Insurance: STD Adjudicator
Claims: Subrogation
Management: Supervisory
Underwriting: Surety
Information Technology: Systems Analysis
Broker: Territory Management
Underwriting: Territory Management
Other: Training And Development
Other: Transportation and Trucking
Underwriting: Underwriting
Underwriting: Underwriting - Auto
Underwriting: Underwriting - Auto/Fleet
Underwriting: Underwriting - Boiler & Machinery
Underwriting: Underwriting - Commercial
Underwriting: Underwriting - E&O/D&O
Underwriting: Underwriting - Farm
Underwriting: Underwriting - Group Benefits
Underwriting: Underwriting - Life
Management: Underwriting - Management
Underwriting: Underwriting - Marine
Underwriting: Underwriting - Personal Lines
Underwriting: Underwriting - Property
Underwriting: Underwriting - Property/Casualty
Underwriting: Underwriting - Surety
Underwriting: Underwriting - Trainee
Underwriting: Underwriting - Umbrella
Underwriting: Underwriting Consultant
Life Insurance: Underwriting Consultant
Underwriting: Underwriting-Casualty
Underwriting: Underwriting-Support
Life Insurance: Vocational Rehabilitation Consultant
Restoration/Damage Repair/Extraction/Cleaning: Water Technician
Information Technology: Website Development
Restoration/Damage Repair/Extraction/Cleaning: Wood Restoration
Life Insurance: WSIB Adjudicator

Minimum Experience Required

3 to 4 Years

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