Disability Case Specialist - TFT

Southlake Health; Newmarket; Hybrid; CAD 70,000 - 83,000; Full time

Benefits offered by this job

Hybrid work options

Progressive health and dental benefits

HOOPP pension plan

Wellness initiatives and on-site gym

Job summary

Southlake Health is seeking a Disability Case Specialist to manage work-related and health-related disability claims within Occupational Health, Safety & Wellness. Focus on proactive management of chronic conditions to support attendance and safe participation at work.

The role includes adjudication of benefits, development of return-to-work plans, and coordination of accommodations. Hybrid work options and comprehensive benefits are offered.

Qualifications

• Baccalaureate degree in nursing, occupational therapy, physiotherapy or other health‑related science required.
• Minimum three years disability claims management experience.
• Experience in a unionized health care setting preferred.
• Registration with the relevant college and membership in relevant professional association required.
• Working knowledge of relevant legislation: Human Rights Code of Ontario, OHSA, WSIA.
• Experience managing chronic or complex medical conditions in disability/occupational health context is an asset.
• Proven ability to design and implement early and safe return to work programs.
• Proficient in Microsoft Office; Parklane experience is an asset.
• Conflict resolution and negotiation skills.
• Excellent written and verbal communication.
• Ability to solve problems and adapt to change.
• Commitment to customer service and teamwork.
• Demonstrates leadership

Responsibilities

• Manage employee disability claims (short and long term) including acute, chronic conditions.
• Identify and manage chronic conditions to support attendance and safe return to work.
• Develop and refine policies, procedures, and tools related to disability management and return-to-work.
• Review medical documentation and adjudicate benefits.
• Document and maintain employee charts/claims.
• Participate in appeals, grievances, arbitrations and OHRC/WSIB hearings.
• Coordinate temporary and permanent accommodations.
• Attend return-to-work committee and related meetings.
• Collaborate with internal and external stakeholders.
• Support Attendance support program.

Skills

Disability claims management

Return-to-work programs

Communication skills

Problem solving

Teamwork

Leadership

Customer service

Negotiation

Adaptability

Microsoft Office

Education

Health-related degree

Tools

Parklane

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

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 workplace culture which emphasizes equity and inclusion throughout our hiring process. To ensure fairness and transparency, all applications are reviewed and assessed by our dedicated team of recruiters and hiring managers, not by artificial intelligence (AI). We value the unique perspective each candidate brings to our organization.

Health & Safety Workplace Responsibilities It is the responsibility of all Southlake Health employees to work safely and promote health and safety in the workplace. Employees must adhere to the duties of workers, as stipulated in Section 28 of the OH&S Act, as well as all Southlake OH&S policies and procedures.

Must be able to perform all necessary bona fide duties for the position, as outlined in the position guide.

Must review and be capable of performing duties as outlined in the Job Demands Analysis for the position as a condition of offer.

Proven ability to attend work regularly as per the Attendance Support Policy.

Commitment to Diversity and Inclusion

Southlake Health is fully dedicated to employment equity, diversity, and inclusion in our recruitment practices. We welcome candidates who identify with equity‑seeking groups, including women, racialized individuals, Indigenous Peoples, persons with disabilities, and those from the 2SLGBTQ+ community. Any information provided will be kept confidential and used appropriately in our recruitment process.

Anti‑Oppression/Anti‑Racism at Southlake Health

Southlake Health is committed to having a workforce that is reflective of the diversity of York Region and strongly encourages applications from all qualified individuals, and from those who can provide different perspectives and contribute to a further diversification of ideas.