Senior Adjudicator

WorkSafe BC; Kelowna; Hybrid; CAD 30,000 - 60,000; Full time

Job summary

WorkSafe BC is seeking a Senior Adjudicator to manage complex claims involving mental health, occupational diseases, and soft-tissue disorders. This role is pivotal in providing compassionate service and making important decisions to support injured workers. Enjoy a hybrid work model with a competitive salary and benefits including a defined benefit pension plan and 3 weeks of vacation in the first year.

Benefits

Defined benefit pension plan

3 weeks vacation

Extensive health care and dental benefits

Development opportunities

Health and wellness resources

Qualifications

• Minimum of three years experience making complex adjudicative decisions.
• Ability to communicate complex information clearly.
• Valid B.C. driver's license.

Responsibilities

• Manage an adjudicative caseload of complex claims.
• Ensure fair and impartial adjudication.
• Determine claim eligibility and benefit entitlement.

Skills

Communication

Judgment

Conflict Resolution

Education

Bachelor's degree in a relevant discipline

Job description

Are you interested in taking the next step in your career path in adjudication? We have opportunities for Senior Adjudicators - vital roles that provide quality adjudication to support injured workers and employers. The Senior Adjudicator role encompasses a variety of complex and specialized adjudication areas including mental health, occupational disease, activity-related soft-tissue disorders, and secondary adjudication.

You'll work in a client-centric environment, adjudicating complex claims, supporting and educating clients, and addressing questions regarding the claims process, decisions, health care and compensation benefits, and related matters. You'll provide exemplary customer service by establishing compassionate and professional working relationships with injured workers and their employers.

How you'll make a difference : You'll make important and fair decisions when people get injured at work.

Where you'll work

At WorkSafeBC, we offer a hybrid work model that combines working remotely, and in our offices based on the operational needs of the position.

What you'll do

• Manage an adjudicative caseload of complex claims that includes occupational diseases, activity-related soft tissue disorders, aggravations of pre-existing diseases, sensitive claims, appellate returns, mental health claims, and combination mental and physical injury claims
• Ensure adjudication is fair and impartial, and that recovery and return to work facilitates trusting relationships with claims managers who care about the clients' wellbeing, laying a foundation of trust
• Communicate frequently with clients who may be psychologically fragile and provide exemplary, compassionate service to all clients
• Determine claim eligibility, disability status, and benefit entitlement
• Conduct independent investigations for complex adjudication by gathering evidence and performing risk factor assessments
• Liaise with clinical and non-clinical consultants to collect and analyze comprehensive assessment reports
• Maintain a current and comprehensive knowledge of claims adjudication best practices, procedures, and processes and provide training, coaching, and mentoring to team members

Is this a good fit for you?

We're looking for people who can :

• Manage a demanding workload under time pressure and be accountable for organizing a variety of work on an assigned caseload
• Communicate compassionately, clearly, and concisely to various parties including injured workers, employers, clinical providers, and consultants
• Made decisions using sound judgement where specific formal guidelines and policies may not exist
• Remain resilient, calm, compassionate, and professional in supporting potentially fragile or suicidal individuals in stressful, sensitive, and emotionally challenging situations
• Manage and resolve conflict and diffuse hostility with an ability to provide exemplary and responsive service
• Travel to other WorkSafeBC offices as well as to external job sites

Your background and experience

• A bachelor's degree in a relevant discipline; and
• A minimum of three years of experience making complex adjudicative decisions or applying law and policy to make complex determinations where you analyzed facts and issues, integrated information from multiple sources, and weighed evidence
• Excellent communication skills including the ability to explain complex information verbally and in writing
• A valid B.C. driver's license

Important to know

Before we can finalize any offer of employment, you must :

• Successfully meet the legal requirements under the Criminal Records Review Act to work with children and / or vulnerable adults
• Confirm you're legally entitled to work in Canada

Who we are

At WorkSafeBC, we promote safe and healthy workplaces across British Columbia. We partner with workers and employers to save lives and prevent injury, disease, and disability. When work-related injuries or diseases occur, we provide compensation and support injured workers in their recovery, rehabilitation, and safe return to work. We're honoured to serve the 2.49 million workers and 263,000 registered employers in our province.

What's it like to work at WorkSafeBC?

It's challenging, stimulating, and rewarding. Our positions offer diversity and opportunities for professional growth. Every day, the work we do impacts people and changes lives. What we do is important, and so are the people we do it for.

Our ability to make a difference relies on building a team with a rich variety of skills, knowledge, backgrounds, abilities, and experiences that reflects the diversity of the people we serve. We are committed to fostering a welcoming, inclusive, and supportive work culture where everyone can contribute as their best, authentic self.

Learn more : Discover who we are.

As a member of our team, you'll have access to services and benefits that help you get the most out of work - and life. Along with a competitive salary, your total compensation package includes :

• Defined benefit pension plan that provides you with a lifetime monthly pension when you retire
• 3 weeks of vacation in your first year, with regular increases based on years of service
• Extensive health care and dental benefits
• Optional leave and earned-time-off arrangements
• Development opportunities (tuition reimbursement, leadership development, and more)
• Health and wellness resources, such as the Employee and Family Assistance Program, LifeSpeak, the MindWell Challenge, and virtual and in-person fitness programs

Learn more : Find out what we offer .

Salary : $44.87 / hourly

Want to apply?

• Applications are welcomed immediately, however must be received no later than 4 : 30 p.m. PST on the closing date.
• Please note that we will be starting assessments prior to the closing date.

We encourage all qualified applicants to apply . If you require an accommodation in the assessment process, please email Recruitment Testing Accommodation (SM) when you submit your application.

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