Disability Case Specialist - TFT

southlake; Newmarket; Hybrid; CAD 146,136,000 - 171,924,000; Full time

Benefits offered by this job

Hybrid/In-person work options

Health and dental benefits

HOOPP pension plan

Job summary

Southlake Health is seeking a Disability Case Specialist to join the Occupational Health, Safety & Wellness team in Newmarket, ON. You will manage short- and long-term disability claims with a focus on proactive chronic condition management to sustain attendance and safe participation at work.

Responsibilities include adjudicating benefits, coordinating modified and permanent accommodations, and supporting early intervention strategies while aligning with WSIB and HOODIP guidelines.

Qualifications

• Management of employee disability including short and long term claims
• Proactive identification of chronic conditions impacting attendance
• Ability to design and implement return-to-work programs
• Review of medical documentation and adjudication of benefits
• Experience in a unionized health care environment is an asset
• Demonstrates leadership and customer service focus

Responsibilities

• Manage short and long term disability claims including chronic health conditions
• Coordinate return-to-work plans and workplace accommodations
• Review medical documentation and adjudicate benefits
• Maintain employee chart/claim records
• Participate in appeals and HR-related proceedings
• Collaborate with internal and external stakeholders
• Support attendance improvement programs

Skills

Disability claims management

Early intervention

Policy development

Medical documentation review

Communication skills

Negotiation skills

Education

Baccalaureate degree in nursing/occupational therapy/physiotherapy or health sciences

Tools

Microsoft Office

Job description

Job Category: Professional

Hospital Location: Newmarket ON

Job Type: Temporary (Fixed Term), Full time

Number of Positions: 1

Minimum - Maximum Hourly Rate: $50.53 - $60.07

Why Join Our Team?

• A people-first workplace environment that prioritizes belonging, wellness, and psychological safety.
• 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 coordination of temporary and permanent workplace accommodations.

What you'll bring:

• 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.

What you'll bring:

• Baccalaureate degree in nursing, occupational therapy, physiotherapy or other health-related science discipline required.
• Minimum three years 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 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 problem solve
• Innovative and adaptability 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 will enable you to be assessed fairly and equitably.

Use of Artificial Intelligence (AI)

We prioritize a people-first work