Adjudicator

WCB-Alberta; Edmonton; Hybrid; CAD 68,000 - 78,000; Full time

Job summary

An established industry player is seeking an Adjudicator to join their dynamic team in Edmonton. This role is pivotal in managing disability claims, ensuring that injured workers receive the benefits they deserve. The ideal candidate will demonstrate strong problem-solving and critical thinking skills, while also providing exceptional customer service. With a focus on fairness and accuracy, you will be responsible for assessing claims and facilitating access to necessary services. Enjoy a hybrid work environment that promotes work-life balance, alongside competitive salaries and a comprehensive benefits package. If you’re ready to make a difference in the lives of others, this opportunity is for you!

Benefits

Comprehensive Benefits Package

Flexible Work Schedules

Hybrid Work Opportunities

Supportive Leadership

Caring Work Environment

Qualifications

• Degree or diploma in related fields with experience in caseload management.
• Ability to build relationships and make decisions effectively.

Responsibilities

• Manage claims and determine entitlement based on the Workers’ Compensation Act.
• Provide customer service and negotiate with stakeholders.

Skills

Problem Solving

Critical Thinking

Customer Service

Decision Making

Time Management

Communication Skills

Education

Degree in Social Sciences

Diploma in Rehabilitation

Business Degree

Tools

Computer Skills

Job description

As an equal opportunity employer, we are looking to build a diverse workforce that reflects the diversity of our clients and the customers we serve. Learn more about working for WCB at Careers - WCB Alberta

Job Title:

Adjudicator

Job Type:

Permanent / Full time

Job Location:

Edmonton, Alberta

Adjudicator
Customer Services

Edmonton & Calgary, AB

Permanent, Full Time

Do you…

…aim to be a part of a team that helps injured people get better and get back to life?

…want a hybrid role that offers work-life balance and ability to work from home?

…value service, care, excellence, trust and fairness?

…hope to make a difference?

Candidates in either Edmonton or Calgary will be considered.

Adjudicators manage a high volume of claims in a timely manner by determining entitlement on disability claims in accordance with the Workers’ Compensation Act and policies and communicate decisions to all relevant stakeholders. Focusing on making balanced and accurate decisions, while always treating clients with respect and fairness, Adjudicators are responsible for assessing and facilitating access to the appropriate benefits and services to restore injured workers to date of employment accident or transfer claims for Case Management to deliver more detailed Return to Work services.

Your responsibilities:

• Demonstrating problem solving and critical thinking when determining the relationship between mechanism of injury and diagnosis by gathering and analyzing relevant information and planning to facilitate a return to work.
• Obtaining medical opinion as required and coordinating or authorizing medical investigation treatment.
• Establishing compensation rates, determining the appropriate wage replacement benefits payable and determining medical aid and non-rate based entitlements.
• Maintaining a caseload while meeting department standards and expectations.
• Provide a high level of customer service to all stakeholders, and act as an educator and negotiator when managing stakeholders’ expectations.
• Determining entitlement of medical and financial benefits.
• Upholding the values and principles of the Alberta Workers’ Compensation Board.

Your experience and skills:

• A degree or diploma preferably in Social Sciences, Rehabilitation or Business with related experience in caseload management in the areas of making entitlement decisions, medical management of claims, health care experience, vocational rehabilitation experience or employment counseling experience an asset.
• Ability to build credible business relationships with stakeholders and to reach agreement on courses of action will be key aspects of this role.
• Ability to learn quickly, a strong record of personal achievement, are goal oriented and have solid decision-making and planning skills.
• Reliability and excellent time management skills are critical to this position.
• Proficient computer knowledge and keyboarding skills are essential.
• Familiarity with medical or rehabilitative terminology would be an asset.
• The ability to understand and apply policy while understanding the need for creative problem solving, critical thinking and flexibility to make fair and accurate decisions in a timely manner.
• Effective communication skills – active listening, collaboration and effective verbal and written communication skills will lead to your success.

We offer competitive salaries, a comprehensive benefits package, flexible work schedules and hybrid work opportunities that foster a healthy work-life balance, supportive leadership, and a caring and collaborative work environment. For more information, please see our Employee Handbook.

Salary: Pay Grade 9 Start Rate: $68,544 to Job Rate: $77,429 per annum

Our next Adjudicator class will start on July 7, 2025. Please note successful candidates must be available to attend ten (10) weeks of training at the time of hire. This position is eligible for hybrid; however, successful candidates will be expected to work in-office as scheduled (subject to change). Assessments will be administered as part of the selection process.

We are committed to providing equal opportunity to all qualified persons, without regard to race, colour, religion or national origin, gender (or gender identity expression), age, sexual orientation, physical or mental disability. Equal opportunity is provided in employment, promotions, and wages.

Final candidates for this position will be asked to undergo a security clearance.

Posting Date: May 6, 2025

Closing Date: May 13, 2025 (this competition may be used to fill future vacancies)

We thank all applicants for their interest; however, only candidates under consideration will be contacted.