Senior Specialist, Claims

Axis Communications

Pineville (LA)

On-site

USD 80,000 - 120,000

Full time

12 days ago

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Job summary

IPEX is a leading provider of advanced plastic piping systems in North America, seeking a Senior Specialist, Claims for a hybrid role based in Pineville, NC; Oakville, Ontario or Montreal, Quebec. The role collaborates with the Director, Health, Safety & Environment to manage end-to-end claims, balancing employee well-being with operational and financial objectives.

The candidate will liaise with employees, leaders, insurers, and regulators to ensure compliant reporting, RTW accommodations, and

Qualifications

  • Post-secondary education in HR, Occupational Health, Nursing, Kinesiology, Business Administration, or related field.
  • Disability management or claims-related certification (e.g., CDMP) is an asset.
  • Bilingual in English and French.
  • 3+ years of experience in occupational claims, disability/absence management, workers' compensation, or related claims function within U.S. and/or Canadian jurisdictions.
  • Experience managing end-to-end claims processes, including eligibility assessment, regulatory reporting, case management, and cost monitoring.
  • Knowledge of workers' compensation legislation, human rights and accommodation requirements, privacy legislation, and occupational health and safety standards.

Responsibilities

  • Manage claims from first notice of loss through resolution, including occupational injury, disability, bodily injury, and property damage claims.
  • Assess claim eligibility and submit required reports to workers' compensation boards, insurers, and regulatory bodies.
  • Maintain accurate claim records, documentation, and data integrity.
  • Review and reconcile claim cost statements; investigate and resolve discrepancies.
  • Partner with operational leaders to support modified work, accommodations, and RTW plans.
  • Liaise with workers' compensation authorities, insurers, healthcare providers, and other external stakeholders.
  • Coordinate and participate in accommodation and RTW meetings to facilitate safe, timely employee reintegration.
  • Monitor legislative and regulatory changes across Canada and the U.S., providing guidance on reporting, accommodation, and claims management requirements.
  • Collaborate with internal legal teams and external counsel on complex claims, litigation, cost recovery, and settlements.

Skills

Communication
Collaboration
Organization
Problem-solving
Decision-making
Bilingual English/French

Education

Post-secondary education in HR/Health/Nursing/Business

Job description

IPEX is one of the North American leading providers of advanced plastic piping systems. Our mission is to shape a better tomorrow by connecting people with water and energy. We currently have an exciting opportunity as a Senior Specialist, Claims. This will be a Hybrid role based in either Pineville, North Carolina; Oakville, Ontario or Montreal, Quebec and report to the Director, Health, Safety & Environment. Do not miss the opportunity to join a diverse group of people-centric professionals, thought leaders and rapid thinkers, entrepreneurs in spirit and status quo-fighters!

Job Summary

The Senior Specialist, Claims is responsible for the end-to-end management of occupational injury, illness, disability, and related claims, ensuring compliance with Canadian and U.S. regulatory requirements. This includes assessing claim eligibility, managing reporting obligations, coordinating objections and appeals, supporting accommodation and return-to-work (RTW) programs, and representing the employer in claims-related proceedings when required. As a key liaison between employees, leaders, healthcare providers, insurers, and regulatory authorities, the role balances employee well-Being with operational and financial objectives. This position contributes to reducing claim duration, supporting recovery outcomes, and strengthening claims and risk management practices. This is an individual contributor role with no direct people management responsibilities.

Principal Responsibilities
  • Manage claims from first notice of loss through resolution, including occupational injury, disability, bodily injury, and property damage claims.
  • Assess claim eligibility and submit required reports to workers' compensation boards, insurers, and regulatory bodies.
  • Maintain accurate claim records, documentation, and data integrity.
  • Review and reconcile claim cost statements; investigate and resolve discrepancies.
  • Partner with operational leaders to support modified work, accommodations, and RTW plans.
  • Liaise with workers' compensation authorities, insurers, healthcare providers, and other external stakeholders.
  • Coordinate and participate in accommodation and RTW meetings to facilitate safe, timely employee reintegration.
  • Monitor legislative and regulatory changes across Canada and the U.S., providing guidance on reporting, accommodation, and claims management requirements.
  • Collaborate with internal legal teams and external counsel on complex claims, litigation, cost recovery, and settlements.
  • Serve as a primary contact for internal and external stakeholders, ensuring timely and effective communication.
  • Prepare regulatory submissions, objections, cost relief applications, internal reports, and executive summaries.
  • Represent the employer in appeals and administrative proceedings, as required.
  • Analyze claims data and trends to identify risk reduction and prevention opportunities.
  • Contribute to the continuous improvement of HSE, incident management, and claims processes.
Qualifications & Experience
  • Post-secondary education in Human Resources, Occupational Health, Nursing, Kinesiology, Business Administration, or a related field.
  • Disability management or claims-related certification (e.g., CDMP) is an asset.
  • Bilingual in English and French.
  • 3+ years of experience in occupational claims, disability/absence management, workers' compensation, or a related claims function within U.S. and/or Canadian jurisdictions.
  • Experience managing end-to-end claims processes, including eligibility assessment, regulatory reporting, case management, and cost monitoring.
  • Experience with objections, appeals, cost relief applications, or administrative/legal review processes is an asset.
  • Strong knowledge of workers' compensation legislation, human rights and accommodation requirements, privacy legislation, and occupational health and safety standards.
  • Excellent communication, collaboration, organization, problem-solving, and decision-making skills.
  • Strong attention to detail and ability to manage confidential information and records with accuracy.

IPEX is committed to providing accommodations for people with disabilities throughout the recruitment process and, upon request, will work with qualified job applicants to provide suitable accommodation in a manner that takes into account the applicant’s accessibility needs due to disability. Accommodation requests are available to candidates taking part in all aspects of the selection process for IPEX jobs. To request an accommodation, please contact HR at HR@ipexna.com

At IPEX, our vision is to be the leading supplier of thermoplastic piping systems in North America. As a customer-focused organization, we believe in honesty, fairness, and integrity - the Golden Rule. As one of the world’s largest advanced plastic piping manufacturers, we combine the strength of a global group with the diversity and passion of our local teams. We bring together engaged people with the right experience, expertise and entrepreneurial spirit to develop effective, innovative and sustainable solutions that make life flow. A trusted name in building and infrastructure for more than 50 years. IPEX is dedicated to collaborating with leaders to maximize the potential of our greatest asset – our employees. Come join our team today!

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