Job Description

This is a temporary opportunity for up to 3 months

Starting salary:  $62,958.78

Job Summary:

Analyze claims involving a potential third party for right of action in accordance with the provisions of the Workplace Safety and Insurance Act.

Act as the central point of contact relating to third party election related matters.

Act as the central point of contact to triage files relating to transfer of cost (TOC) and motor vehicle accident (MVA) cost relief.

Utilize systems such as Microsoft Office Suite to design and produce reports, tables and queries and provide administrative support to a team of Adjusters and Management.

Major Duties & Responsibilities

  1. Act as the central point of contact to receive and action claims involving a potential third party for the purposes of determining if an election form should be issued to the worker/survivor by:
  • reviewing referred claims to determine if there is sufficient information to identify a potential third party. Where there is an absence of sufficient information, make appropriate enquiries of internal WSIB staff to assist with obtaining information in support of an election decision
  • referring specific claim types to designated knowledgeable staff for guidance on further handling
  • reviewing requests for extension of time to elect and corresponding with appropriate parties
  • reviewing requests for de-election in schedule 2 claims and corresponding with appropriate parties
  • analyzing information and making a decision as to whether or not an election form is required based upon legislation, policy and section criteria. Notifying internal staff if an election form is not required so that adjudication may proceed
  • issuing the appropriate election form and ensuring systems are updated to reflect current status
  • reviewing completed returned election forms and approving in accordance with established criteria; forwarding election forms to Adjusters for further review and handling
  • notifying Case Manager to stop benefits and create an overpayment if benefits have been paid prior to the approval of an election form
  • advising workers/survivors when election forms have not been approved and providing rationale
  • identifying irregularities in the elections process and taking appropriate action to resolve
  • responding to internal and external enquiries about the elections process including enquiries relating to the MVIA process
  • responding to and triaging calls meant for the Legal Services Branch
  1. Perform a variety of advanced database and system functions within Microsoft Access and other WSIB systems to:
  • enter, gather and summarize information such as settlement amounts for a team of Adjusters and Manager
  • identify potential trends, exceptions etc. by designing and utilizing specific queries to assist management
  • prepare a variety of operational reports including those that are ad hoc requests
  • present information in specified professional formats
  • monitor active and shadow caseloads to assist in the assignment of work based upon capacity and skill level.
  1. Assist team of Adjusters and Manager with conducting legal research in support of subrogated claims. Identify relevant cases and summarize information to support decision making. Upon receipt of settlement amounts, complete necessary calculations to determine if worker is entitled to a surplus.

 

  1. Act as the central point of contact to receive, assign and maintain files relating to TOC and MVA cost relief and subrogated actions by:
  • reviewing requests from various internal/external sources based on Section guidelines to determine if TOC or MVA cost relief requests should be actioned
  • analyzing claim file and account information to assign files to Adjusters and where there is an absence of sufficient information, taking appropriate steps, including contacting relevant parties, to obtain necessary data for Adjusters to make a decision
  • opening and maintaining paper and electronic filing systems
  • obtaining police, Ministry of Labour investigation reports, claim file documents or other types of reports that will facilitate file handling by a team of Adjusters
  • maintaining an abeyance system for Branch file activity to meet processing guidelines responding to internal and external enquiries relating to TOC/MVA cost relief matters including explanation of processes, status of files to authorized parties and troubleshooting complex issues for potential further handling by Adjusters and management
  • determining workplace parties entitlement to file information and providing information as per policy
  • preparing files for referral to Legal Services Branch or Workplace Safety and Insurance Appeals Tribunal in specified formats.
  1. Perform other duties as assigned such as completing records management activities, which include closing and preparing files for shipment to offsite storage according to retention schedules.

Job Requirements

Education

  • Post secondary diploma up to two years in a legal assistant program.

Experience

  • Three years prior experience in legal administration.

Our commitment to equity, diversity and inclusion

We respect and value the diversity of our people. We strive to create an environment where employees can be themselves and where our differences are celebrated.

The WSIB is committed to being accessible and inclusive, and following barrier-free and accessible employment practices in compliance with the Accessibility for Ontarians with Disabilities Act (AODA). Should you require accommodation through any stage of the recruitment process, please let us know when we contact you and we will work with you to meet your needs.

Disclosing conflicts of interest

As public servants, employees at the WSIB have a responsibility to act in an ethical way at all times to create a respectful workplace and maintain public trust. Job applicants are required to disclose any circumstance that could result in a real, potential or perceived conflict of interest. A conflict of interest is any situation where your private interests may impair or be perceived to impair the decisions you make in your official capacity. This may include: political activity, directorship, other outside employment and certain personal relationships (e.g. with current WSIB employees, customers and/or stakeholders). If you have any questions about conflict of interest obligations and/or how to make a disclosure, please contact the Talent Acquisition Centre at talentacquisitioncentre@wsib.on.ca.

Privacy information

We collect personal information from your resume, application, cover letter and references under the authority of the Workplace Safety and Insurance Act, 1997. The Talent Acquisition Centre and WSIB hiring parties will used this information to assess/validate your qualifications, 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, please contact the WSIB’s Privacy Office at privacy_office@wsib.on.ca. The Privacy Office cannot provide information about the status of your application.

As a precondition of employment, the WSIB requires that prospective candidates undergo a criminal records name check any time before or after they are hired.

To apply for this position, please submit your application by the closing date on the WSIB career portal: https://www.wsib.ca/en/careers

Job Posting Details

Job Type

Temporary

Market Segment

Commercial Insurance
Health Insurance
Insurance
Legal

Company Type

Health Clinic - Rehab

Education Required

Post Secondary Education

Minimum Experience Required

3 to 4 Years

Views

325