Claims Management Specialist
Position Summary: Responsible for providing support to a large workforce and management team, overseeing all work related and non-work related medical accommodations and leaves, including WCB/WSIB, Short-term Disability, Long-term Disability, and other medical restrictions.
- Develop, coordinate and implement Modified Work Plans resulting from WSIB, LTD and other disability related absences
- Conduct negotiations between the injured employee, the WSIB, the treating physician, the employee’s immediate Supervisor, and the union to facilitate early and safe return to work
- Communicate with insurance carriers and Claims Adjudicators on Short Term Disability cases and appropriate health care providers to determine changes in the status of injured/ill employees’ level of disability.
- Represent the Company and employee interests; act as the primary liaison between the employee, insurance carriers and front line Supervisor/Managers, to encourage healthy rehabilitation and early intervention, while monitoring current return to work plans.
- Prepare performance statistics on modified work program
- Represent the Company at legal proceedings, if required.
- Other related duties and assistance to the department as required
Health and Safety Responsibilities:
- Adhere to and follow all company health & safety policies, practices and rules for the workplace;
- Comply with legislative requirements of the Occupational Health & Safety Act and Workplace Safety & Insurance Act, including the Duties of a worker, Supervisor and Duties of the Employer as outlined in the Occupational Health & Safety Act, s. 27 and 28 and all other applicable legal requirements
Education: A relevant college diploma or university degree in Occupational Health and Safety or equivalent is required.
A minimum of 5 years of related experience in Disability Claims Management and WSIB Case Management is required, preferably in the automotive manufacturing sector.
Experience in Return-to-Work planning and facilitation.
Demonstrated knowledge and understanding of disability legislation and regulations, including Duty to Accommodate, Workers' Compensation Act, and Human Rights Legislation.
Demonstrated ability to communicate with compassion and understanding in difficult situations.
Ability to balance the conflicting priorities of stakeholders and collaborate to find solutions.
Computer literacy in a Windows environment utilizing Word, Excel, and Outlook at a proficient level.
Prior unionized experience would be an asset.