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Senior Worker's Compensation Claims Specialist

by Windley Ely

Position Type: Full-time
Location: London, Ontario
Date Posted: Nov 25, 2017
Experience: 3 Years
Windley Ely

Job Description

Job Summary

WE is a leading Canadian Workers’ Compensation and Occupational Health and Safety services firm. Our team combines decades of experience in workers’ compensation and occupational health and safety with the knowledge, resources and services, to identify workplace injury cost saving opportunities and implement workplace injury cost saving strategies. WE create a competitive advantage for our customers by lowering operating expenses associated with workers’ compensation premiums and penalties.

Employment Responsibilities: Manage WE's business relationships with several of our more than 200 existing corporate clients including:

  • Meeting with clients to review internal workplace injury issues
  • Managing complex workplace injury claims, minimizing time loss and claim costs through early intervention and proactive co-ordination of services
  • Ensuring regular and open lines of communication with clients and the provincial Boards
  • Acting both as account manager and as a direct contact and resource person concerning workers' compensation claims management issues for senior human resource
  • Claims management
  • Reviewing claim files
  • Interpreting provincial workers' compensation legislation, policies and procedures
  • Filing reports of injury, identifying appeal issues, drafting letters of objection
  • Implementing action plans
  • Coordinating case management activities including developing, implementing and monitoring return to work and rehabilitation strategies
  • Facilitating 3rd party interventions (functional capacity evaluations, independent medical evaluations).
  • Provide clients with regular updates concerning: their workers' compensation claim costs and experience rating position; statistical reports detailing accident frequency and accident trends and claim cost projections
  • Liaise with our appeals personnel identifying appeal issues, providing claim cost projections prior to appeals and where so required drafting written submissions to various provincial appeals bodies
  • Provide clients with on-site assistance by attending mediations, ergonomic assessments, field investigations and provision of workers' compensation training
  • Conduct meetings with potential new clients, assessing service requirements and presenting business solutions tailored to service clients' needs

Qualifications:

  • Paralegal license would be an asset
  • Minimum of 3 years work experience in a workers' compensation claims management capacity either at the WSIB / WCB (or a similar provincial workers' compensation board-commission) or in an in-house capacity at a private company with corresponding knowledge of workers' compensation statutes, policies and procedures, experience rating analysis and workplace health and safety
  • Post Secondary Education, preferably in a related field, or a human resource and/or health and safety and/or insurance certificate-designation are assets. In the absence of these qualifications, significant consideration will be given to applicants with claims management experience in excess of the minimum three years
  • Supervisory experience and a high level of oral and written communication skills, ability to work within a demanding and fast paced environment, personal initiative and ability to work independently and to meet deadlines
  • Familiarity with Microsoft Word, Excel, and Outlook

Salary:

This is a permanent full time position. Salary is negotiable and commensurate with experience and qualifications.

Application Procedure:

Please send cover letter and resume to ssem@windleyely.com or go directly to our website www.windleyely.com to apply. You may also fax your resume to Sontai Sem at 519-657-4457. Only those applicants that are selected for an interview will be notified. We thank all applicants for their interest in this position.

Windley Ely is committed to championing accessibility, diversity and equal opportunities. You can be confident that our recruitment and hiring processes will be modified, if requested, provided the applicant has met Bona-Fide requirements for the open position. If contacted applicants must make any accommodation needs known in advance. Please contact Human Resources for more information.

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Job Location

London, Ontario