EDMONTON: Workers’ Compensation Specialist – Case Manager

Organizational Solutions Inc.; Edmonton; On-site; CAD 60,000 - 80,000; Full time

Job summary

A leading claims management firm in Canada is seeking a skilled WCS to handle Workers’ Compensation claims effectively. This role involves developing strategies to ensure no lost time, facilitating return-to-work plans, and maintaining strong client relationships. Candidates should have at least two years of disability management experience and strong medical knowledge. This position is integral to the organization's success.

Qualifications

• Minimum of two years of disability management experience.
• Experience in short-term and long-term disability adjudication.

Responsibilities

• Manage day-to-day Workers’ Compensation claims.
• Develop practices and procedures for claims management.
• Communicate with stakeholders to manage return-to-work planning.
• Evaluate historical claim performance.

Skills

Fact gathering

Case analysis

Customer service

Disability management

Medical knowledge

Job description

Details

The WCS role is responsible for managing the day-to-day Workers’ Compensation (WC) claims for ongoing and new clients ensuring no lost time, recovery and return to work. Claims management includes strong return to work / no lost time strategies, appeals and analysis of data for ongoing and continuous improvement.

The WCS is involved in the maintenance and development of practices and procedures for claims and disability management services. The WCS will communicate with key stakeholders involved to manage return-to-work planning and mitigate lost time. The WCS manages the claim, evaluates historical claim performance, confirms treatment programs with the healthcare provider, and liaises with all stakeholders to provide solution-focused programs that are entered into our proprietary system, OrgSys, and follow best practices for claim and care management. Establish and maintain positive client relationships. Deliver quarterly and annual reports with continuous improvement focus.

You’re exceptionally skilled at fact gathering, reviewing objective medical information and analyzing cases using proven return-to-wellness strategies.

You have at least two years of disability management experience, including short-term and long-term disability adjudication.

With strong medical knowledge and a customer service focus, you’ll be an important part of the OSI success story.