Case Manager (Personne gestionnaire de cas)

Workplace Safety and Insurance Board (WSIB); Sault Ste. Marie; On-site; CAD 60,000 - 80,000; Full time

Job summary

A government agency is seeking a Case Manager to oversee claims management, ensuring timely decisions and providing education on benefits. The role requires strong customer service and adjudication skills, with a focus on supporting return-to-work initiatives. Candidates should hold an undergraduate degree and have a commitment to equity and accessibility. Opportunities exist in several Ontario locations, including Sault Ste. Marie.

Benefits

Equity, diversity, and inclusion commitments

Accessibility accommodations available

Qualifications

• University completion at undergraduate level.
• Two years experience in Adjudication or Case Management.
• Commitment to equity and accessibility practices.

Responsibilities

• Make entitlement decisions based on legislation and policy.
• Collect information for eligibility decisions and respond to inquiries.
• Develop and monitor case management plans.
• Coordinate return-to-work activities.

Skills

Customer service

Adjudication

Case management

Education

Undergraduate degree

Job description

Overview

Job description provided for Case Manager at the Workplace Safety And Insurance Board (WSIB). The description includes bilingual and unilingual roles in multiple Ontario locations, salary information, and details on benefits and equity commitments. Content originally contains English and French sections and a large set of duties, requirements, and organizational information.

Job Summary

Responsible for the entitlement decision and overall management of claims through the development, implementation, communication and monitoring of comprehensive and integrated case management plans for all case activities. Case Managers use a proactive case management approach to make and communicate decisions on benefits and services in a timely fashion that are consistent with relevant WSIB policy. Address worker and employer needs by actively listening, collecting, and providing relevant information, and helping the workplace parties understand their rights, responsibilities, and obligations.

Major Duties and Responsibilities

• Make entitlement decisions based upon legislation, policy, and best practices and communicate these decisions verbally and in writing to applicable parties
• Proactively collect information from workplace parties and healthcare providers required for eligibility decisions and respond to inquiries
• Provide education on WSIB benefits, policies, and processes while informing parties of their rights and obligations under the Act, and of the consequences of non-compliance
• Ensure appropriate earnings information is on file to determine the appropriate duration and level of benefits
• Monitor employer and worker compliance; determine if a breach of obligations has occurred and adjust benefits as appropriate
• Develop, implement, and monitor comprehensive case management plans to achieve recovery, community integration, and return to work (RTW) where possible
• Collect information to progress the case; assess and position each case along its recovery path; set goals and make decisions based on legislation, policy, and best practices
• Plan activities in collaboration with workplace parties and team members; participate in case conferences and provide consultative advice
• Coordinate actions, monitor new information, and close activities when active case management is no longer required
• Provide targeted activities focused on identifying RTW factors, removing obstacles, and facilitating a safe return to suitable work
• Coordinate RTW cooperation between workplace parties; share information about workers’ capabilities and precautions as needed
• Arrange and adjust RTW assessments and plans; promote prevention and disability management programs
• Keep clients and employers informed of status and progress; engage them in removing barriers to RTW
• Identify and coordinate internal and external resources to ensure timely completion of interventions and services
• Refer requests for medical entitlements or equipment and liaise with relevant resources
• Address disputes, handle requests for reconsideration, and conduct quality reviews of case management and related activities
• Perform other related duties as assigned

Job Requirements

Education

• University completion at undergraduate level

Experience

• Two years prior experience in Adjudication or Case Management and Customer Service
• Additional detail provided on definitions of adjudication and case management processes

Education Equivalency

This position is currently eligible for an education equivalency. Additional years of experience may be considered in place of education on a 2:1 basis. Minimum threshold for education equivalency is a college diploma program of over one year and up to two years.

Other Requirements

• There are no equivalents for established professional certifications or designations
• Commitment to equity, diversity and inclusion; accessibility and barrier-free practices under the Accessibility for Ontarians with Disabilities Act (AODA); accommodation available on request during recruitment
• Disclosure of conflicts of interest; privacy information; pre-employment criminal records name check
• To apply, submit your application by the closing date

Locations

We anticipate bilingual (French & English) and unilingual permanent opportunities in the following office locations: Guelph (Unilingual/Bilingual), Hamilton (Unilingual/Bilingual), Kingston (Unilingual/Bilingual), London (Unilingual/Bilingual), North Bay (Unilingual/Bilingual), Ottawa (Unilingual/Bilingual), Sault Ste. Marie (Unilingual/Bilingual), St. Catharines (Unilingual/Bilingual), Sudbury (Unilingual/Bilingual), Thunder Bay (Unilingual/Bilingual), Timmins (Unilingual/Bilingual), Toronto (Unilingual/Bilingual), Waterloo (Unilingual/Bilingual), Windsor (Unilingual/Bilingual).

Note

The description contains bilingual and multilingual elements, salary details, and references to benefits. References to job postings, social sharing prompts, and unrelated article snippets are not included in this refined version.