Eligibility Adjudicator

Workplace Safety and Insurance Board; Ontario; On-site; CAD 60,000 - 80,000; Full time

Job description

EMPLOYER: Workplace Safety and Insurance Board

JOB DESCRIPTION:

Our priority is the health and wellness of employees and the people of Ontario. As such, this position may involve working from home for part of the duration of this position. The WSIB model mixes working from home, office and field.

About the Workplace Safety and Insurance Board (WSIB)

We’re here to help. When an injury or illness happens on the job, we move quickly to provide wage-loss benefits, medical coverage and support to help people get back to work. Funded by businesses, we also provide no-fault collective liability insurance and access to industry-specific health and safety information. We are one of the largest insurance organizations in North America covering over five million people in more than 300,000 workplaces across Ontario. For more information, visit wsib.ca.

At the WSIB, you’ll have the opportunity to:

• explore many career paths and follow your passion
• continuously learn and grow professionally
• be recognized for the great work you do
• participate in programs that support your health and wellbeing

You’ll also receive a competitive salary, along with a comprehensive benefit package and defined benefit pension plan.

Now is an exciting time to join the Eligibility team at the WSIB! Be part of a team that makes a difference in the lives of people at a time of need after a workplace injury or illness. Eligibility Adjudicators work with our customers to decide on wage-loss benefits and medical coverage.

The WSIB is recruiting for current and future unilingual and bilingual (French speaking) opportunities in the following locations:

Guelph, Hamilton, Kingston, Kitchener, London, North Bay, Ottawa, Sault Ste. Marie, Sudbury, Thunder Bay, Toronto, Timmins & Windsor

From: $78,727.86

Why the WSIB

• We are a diverse workforce with varying roles and backgrounds
• Opportunities for you to grow and develop your career within the organization
• We offer services in multiple locations across Ontario
• Comprehensive in-house training program- giving you the tools you need to succeed in the job
• A defined-benefit pension plan - know what your pension will be when you retire!
• Comprehensive employee benefit plan – medical, dental, disability insurance, counselling and more
• Language bonus for our bilingual (French and English) Adjudicators
• Tuition Assistance Program – continued learning supported by us!

About the Role

Use a proactive case management approach to make and communicate eligibility decisions on benefits and services in a timely fashion that are consistent with relevant WSIB policy. Address worker and employer needs by actively listening, collecting and proving relevant information, and helping the workplace parties understand their rights, responsibilities and obligations.

Manage cases that are allowed, denied, reconsidered or resolved within established program guidelines, following a structured case management framework to enable them to achieve high quality eligibility decisions and successful outcomes.

Major Responsibilities

• A dynamic role – every day, you will review and make high quality decisions on cases that differ from each other. Servicing the province of Ontario means you will get experience in making decisions on a wide range of case types.
• Reading, interpreting and applying the WSIB policy and legislation under the Workplace Safety and Insurance Act (the Act) to support your decisions
• This is a speaking job – you will be on the phone with employers, injured people, representatives and healthcare providers to collect and understand information in order to make timely decisions.
• Providing exceptional customer service is an integral part of this role. Responding to customer enquiries throughout the day and following up on items via phone calls/emails.
• You will use industry leading technology solutions to receive and manage decisions and customer enquiries.
• You will be expected to meet or exceed targets as cases are assigned to you throughout the day, switching between competing priorities.
• You will collaborate with your own team and department as well as other supporting roles within the WSIB
• You will write letters to explain decisions on wage-loss benefits and medical coverage, at times delivering adverse decisions verbally and in writing.
• Perform other related duties as assigned or required such as participation in the development and implementation of business plans and projects.

Your Qualifications

Education:

University completion at undergraduate level

Experience:

Two years prior experience in customer service and adjudication

• Adjudication is a process of decision making, gathering and weighing information against guidelines, policy and laws to arrive at an objective outcome.

As a precondition of employment, the WSIB will require a prospective candidate to undergo a criminal records name check prior to or at any time following hire.

To apply for this position, please submit your application by August 14, 2023 through our website: https://www.wsib.ca/en/careers.

We appreciate the interest of all candidates. Due to the volumes of applications we receive, we are only able to contact candidates that are selected to move forward in the recruitment process. The WSIB is an equal opportunity employer.

The WSIB is an equal opportunity employer and provides accommodation for job applicants in accordance with the Human Rights Code and the Accessibility for Ontarians with Disabilities Act. If you are an individual with a disability and you need accommodation in order to apply for this position, please contact [e-mail]. If you are invited to participate in the assessment process, please provide your accommodation needs at that time. Please be advised that you may be required to provide medical documentation to the WSIB’s Corporate Health Department so that appropriate accommodation can be provided to you throughout the recruitment process.

Employees of the WSIB have important ethical responsibilities, including the obligation to place the public interest above personal interests. Job applicants are therefore required to disclose any circumstance that could result in a real, potential or perceived conflict of interest. These may include: political activity, directorship or other outside employment and certain personal relationships (e.g. with existing WSIB employees, clients and/or stakeholders). Please contact TAC if you have any questions about conflict of interest obligations and/or how to make a disclosure.

Privacy Statement
Personal information will be collected from your resume, application, cover letter and references under the authority of the Workplace Safety and Insurance Act, 1997 and will be used by the Talent Acquisition Centre and WSIB hiring parties to assess/validate your qualifications and/or determine if you meet the requirements of vacant positions and/or gather information relevant for recruitment purposes. If you have questions or concerns regarding the collection and use of your personal information, contact the WSIB Privacy Office, 200 Front Street West, Toronto, ON, M5V 3J1 or 416-344-5323 or 1-800-387-0750 extension 5323. Be advised that information related to application status will not be provided.

START DATE: 11/02/2023