BURLINGTON : Workers’ Compensation Specialist – Case Manager

Organizational Solutions Inc.; Burlington; On-site; CAD 60,000 - 80,000; Full time

Job summary

A leading company is seeking a Workers' Compensation Specialist (WCS) to manage claims for clients and improve return-to-work strategies. This role involves maintaining relationships with key stakeholders, analyzing claims data, and developing best practices in disability management. The ideal candidate will have strong medical knowledge, customer service skills, and at least two years of relevant experience.

Qualifications

• At least two years of disability management experience including adjudication.
• Strong medical knowledge and customer service focus.

Responsibilities

• Manage day-to-day Workers’ Compensation claims for clients.
• Develop return-to-work planning and mitigate lost time.
• Deliver quarterly and annual reports focused on continuous improvement.

Skills

Fact gathering

Data analysis

Customer service

Job description

The WCS role is responsible for managing the day-to-day Workers’ Compensation (WC) claims for ongoing and new clients ensuring no lost time, recovery and return to work. Claims management includes strong return to work / no lost time strategies, appeals and analysis of data for ongoing and continuous improvement.

The WCS is involved in the maintenance and development of practices and procedures for claims and disability management services. The WCS will communicate with key stakeholders involved to manage return-to-work planning and mitigate lost time. The WCS manages the claim, evaluates historical claim performance, confirms treatment programs with the healthcare provider, and liaises with all stakeholders to provide solution-focused programs that are entered into our proprietary system, OrgSys, and follow best practices for claim and care management. Establish and maintain positive client relationships. Deliver quarterly and annual reports with continuous improvement focus.

You’re exceptionally skilled at fact gathering, reviewing objective medical information and analyzing cases using proven return-to-wellness strategies.

You have at least two years of disability management experience, including short-term and long-term disability adjudication.

With strong medical knowledge and a customer service focus, you’ll be an important part of the OSI success story.