Adjudicator (Case Management)

VenorTalent; Halifax; On-site; CAD 63,000 - 80,000; Full time

Job summary

An established industry player is looking for a service-oriented Adjudicator to join their team. This role involves managing medium-risk claims, determining eligibility for benefits, and supporting clients in their return to work. The ideal candidate will have a university degree in health care, education, or social sciences and possess strong analytical and decision-making skills. With a commitment to workplace safety and a diverse environment, this opportunity offers a competitive compensation package and the chance to make a meaningful impact in the community.

Qualifications

• 2 years’ experience in low or medium risk case management.
• Experience in patient-care or social service environments.

Responsibilities

• Manage medium-risk claims under the case management methodology.
• Determine client eligibility for benefits and monitor claims.

Skills

Analytical Thinking

Decision Making

Case Management

Communication

Education

University Degree in Health Care

University Degree in Education

University Degree in Social Sciences

Job description

On behalf of WCB Nova Scotia, Venor is recruiting for an Adjudicator.

Pursuant to the Workers’ Compensation Act, we provide workplace injury insurance to workers and employers in Nova Scotia. Every day, our employees work to reduce the human and financial impact of workplace injury. We work to prevent workplace injuries, but when they occur, we are there to provide security from their impact to workers and their families.

We work with workplaces across the province to help prevent workplace injuries and to establish strong return-to-work programs. When injury occurs, we support injured workers to return to work in a safe and timely manner. We provide income replacement benefits, supporting rehabilitation and offering return-to-work assistance. We also provide extended benefits in cases where an injured worker is no longer able to work due to their workplace injury, and we support families in the wake of workplace tragedy.

We are a leader in Nova Scotia’s growing workplace safety culture. Our social marketing campaigns spark important conversations and behaviour changes related to workplace safety. We work with our partners to reduce the human impact of workplace injury through the promotion of workplace safety and return-to-work.

WCB Nova Scotia is seeking a service-oriented, adaptable, analytical thinker with strong decision-making skills to join their Service Delivery and Workplace Services Team. The work of an Adjudicator includes a wide range of activities centered around managing medium-risk claims under the case management methodology.This includes the initial adjudication of entitlement and setting of initial rates, and seeing claims through to completion.

The work of Adjudicators consists of a number of tasks, including determining client eligibility for permanent impairment benefits; monitoring and evaluating claims by developing an action plan; liaising with employers, unions, and service providers, helping clients make a safe and timely return to work. Adjudicators are responsible for the approval and authorization of services and benefits for injured workers on an ongoing basis, including earnings replacement benefits, medical aid and permanent impairment benefits; and, upon completion of active intervention, assessment of entitlement to wage loss replacement per the Workers’ Compensation Act and Workers’ Compensation Board policy.

About You

As a successful Adjudicator, you will possess a university degree in health care, education, or social sciences. You have 2 years’ experience performing low or medium risk case management in a decision-making capacity in a patient-care, social service, health care, insurance, disability case management, or related environment. Travel is a requirement; candidates must have a valid driver’s license and daily use of a dependable, safe automobile.

As safety champions, all employees are responsible for following safe work procedures; using personal protective and safety equipment as required; knowing and complying with all regulations; reporting any illness or injury immediately to their manager; reporting unsafe acts and unsafe conditions; and cooperating with occupational health and safety initiatives. We are a scent-reduced environment. WCB Nova Scotia champions safety and promotes a diverse and respectful workplace.

The Offer

We offer a competitive compensation package, including a salary range of$63,239 – $79,037.

Any offer of employment will be conditional upon the completion of all applicable background checks and confirmation of credentials, the results of which must be satisfactory to the WCB.

At Venor, we value and celebrate diversity. We welcome applications from all individuals of any race, color, religion, gender identity, orientation, national origin, or disability status.

WCB Nova Scotia is an equal opportunity employer committed to supporting and developing our employees.

Venor is an Atlantic Canadian recruiting firm specializing in recruitment solutions, executive search, career transition & outplacement services.

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