Disability Case Specialist - Full Time

southlake; Newmarket; Hybrid; CAD 70,000 - 83,000; Full time

Benefits offered by this job

Hybrid work environment

Health and dental benefits

HOOPP pension plan

Wellness program and gym memberships

Job summary

Southlake Health in Newmarket, Ontario, invites a Disability Case Specialist to join the Occupational Health, Safety & Wellness team. You will manage short- and long-term disability claims, focusing on proactive management of chronic conditions to sustain attendance and safe work participation.

Role involves WSIB and HOODIP compliance, benefits adjudication, and coordinating accommodations. Hybrid work options, comprehensive benefits, and a supportive, inclusive culture are offered.

Qualifications

• Baccalaureate degree in nursing, occupational therapy, physiotherapy or other health-related science discipline required.
• Minimum three years of disability claims management required.
• Experience in a unionized environment, preferably in a health care setting.
• Registration with relevant college and membership in relevant professional association required.
• Working knowledge of Human Rights Code of Ontario, OHSA and WSIA.
• Experience managing chronic or complex medical conditions in a disability/occupational health context is an asset.
• Proficient computer skills Microsoft Office; Parklane would be an asset.
• Conflict resolution and negotiation skills.
• Excellent written and verbal communication skills.
• Ability to solve problems; adaptability to change; customer service and teamwork.
• Demonstrates leadership skills.

Responsibilities

• Management of employee disability, including short- and long-term claims related to acute, chronic, and episodic health conditions.
• Proactive identification and management of chronic/recurring health conditions to support attendance and safe work participation.
• Develop and refine disability management policies, procedures, and tools, including form/template development.
• Review of medical documentation and adjudication of benefits.
• Maintain Employee Chart/Claim file records.
• Participate in Appeals, Grievances, arbitrations and HR proceedings as required.
• Coordinate temporary and permanent accommodations.
• Attend return-to-work committee and related meetings.
• Collaborate with internal and external stakeholders.
• Support the Attendance support program.
• Contribute to project work to improve relationships and portfolio efficiency.

Skills

Disability claims management

Communication skills

Problem solving

Negotiation skills

Microsoft Office

Conflict resolution

Teamwork

Leadership

Education

Bachelor’s degree in nursing, occupational therapy, physiotherapy or health-related science

Tools

Microsoft Office

Job description

Job Category: Professional

Hospital Location: Newmarket ON

Job Type: Permanent, Full time

Number of Positions: 1

Minimum - Maximum Hourly Rate: $50.53 - $60.07

Why Join Our Team?

• Hybrid, virtual, and in-person working environment (where applicable).
• Progressive health and dental benefit plans.
• HOOPP pension plan with employer and employee premium sharing.
• Enhanced wellness initiatives, including virtual fitness classes and on-site gym memberships.

About the role

The Disability Case Specialist as a member of the Occupational Health, Safety & Wellness team is responsible for the case management of employee work related and non-work-related disability claims. This includes short- and long-term disability claims, with a particular focus on the proactive management of chronic and recurring health conditions to support sustained attendance and safe participation at work.

Work related claims are managed in accordance with Workplace Safety and Insurance Board (WSIB) legislation and non-work-related claims are managed under the Hospitals of Ontario Disability Insurance Plan (HOODIP). The role includes the adjudication of benefits, the coordination of modified transitional return-to-work plans and the coordination of temporary and permanent workplace accommodations.

What you'll be doing:

• Management of employee disability, including short- and long-term claims related to acute, chronic, and episodic health conditions
• Proactive identification and management of chronic and recurring health conditions that may impact attendance, performance, or sustainability at work. Support employees to safely remain at work or return to work through early intervention, functional-based planning, and ongoing monitoring.
• Contribute to the development, implementation, and ongoing refinement of policies, procedures, and standardized tools related to disability management, chronic condition support, accommodation, and return-to-work processes, including form and template development
• Review of medical documentation and adjudication of benefits
• Document and maintain Employee Chart/ Claim file records
• Participate in Appeals, Grievances, arbitrations, and any other legal proceedings as required including Human Rights and Workplace Safety and Insurance Board Tribunal Hearings.
• Coordination of temporary and permanent accommodation
• Attend return-to-work committee and other relevant meetings
• Collaboration with relevant stakeholders both internal and external
• Support the Attendance support program.
• Participate in applicable project work as assigned to build existing relationships within the organization with a view to bringing efficiencies within the portfolio.

What you bring:

• Baccalaureate degree in nursing, occupational therapy, physiotherapy or other health-related science discipline required.
• Minimum three years of disability claims management required.
• Experience in a unionized environment, preferably in a health care setting
• Registration with relevant college and membership in relevant professional association required.
• Working knowledge of relevant legislation, e.g. Human Rights Code of Ontario, Occupational Health & Safety Act, Workplace Safety Insurance Act
• Experience managing chronic or complex medical conditions in a disability, rehabilitation, or occupational health context is considered an asset. Proven ability to effectively design and implement early & safe return to work programs
• Proficient computer skills Microsoft Office); Parklane would be an asset
• Conflict resolution and negotiation skills
• Demonstrates excellence in communication skills, both written and verbal
• Ability to effectively solve problems
• Innovative and adaptable to change management
• Commitment to customer service and teamwork
• Demonstrates individual leadership skills

Southlake Health is fully committed to a culture of belonging and an inclusive environment that encourages every team member to lead within their role, generate innovative ideas that reinforce our mission and goal to create a healthy workplace where our community can thrive.

Regular and reliable attendance is an expected requirement of this position.

We are committed to a selection process and work environment that is inclusive and barrier-free. Accommodation will be provided in accordance with the Ontario Human Rights Code. Applicants who may require accommodation during the selection process are encouraged to notify the Human Resources Department when contacted for an interview. The People, Culture and Experience team will work together with the hiring committee to arrange reasonable and appropriate accommodation for the selection process, which wi