BURLINGTON : Workers’ Compensation Specialist – Case Manager

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

Job summary

A leading company in the disability management field is seeking a WCS professional to oversee Workers' Compensation claims for clients. You will manage claims, ensure effective return-to-work strategies, and develop reports focused on continuous improvement. The ideal candidate must possess strong analytical skills, a customer-centric approach, and at least two years of relevant experience.

Qualifications

• At least two years of disability management experience.
• Experience in short-term and long-term disability adjudication.
• Strong medical knowledge and customer service focus.

Responsibilities

• Manage day-to-day Workers’ Compensation claims for clients.
• Communicate with stakeholders to execute return-to-work plans.
• Maintain positive client relationships and deliver improvement reports.

Skills

Fact gathering

Case analysis

Client relationship management

Return-to-wellness strategies

Tools

OrgSys

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.