Workers’ Compensation Consultant – Level 3

🔥 0 minutes ago

🇨🇦 Canada – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

👻 Ghost score 10%

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Analyze and manage complex or technically challenging workers’ compensation claims • Investigate claims and gather the information required to determine claim exposure • Manage claims using action plans to ensure appropriate and timely resolution in accordance with CNESST requirements • Negotiate settlements within designated authority limits • Calculate and manage reserves throughout the life of claims • Calculate and pay benefits owed; approve and process payments and settlements • Prepare required provincial filings within prescribed deadlines • Manage the litigation process and coordinate referrals to vendors • Apply cost-containment techniques and leverage vendor partnerships • Manage recoveries, including subrogation, Second Injury Fund recoveries, and Social Security and Medicare offsets • Report claims to excess insurers and respond to requests for direction • Communicate with claimants and clients and maintain professional relationships • Ensure accurate file documentation and claims coding • Refer files to supervisors and management as needed • Support the organization’s quality programs • Perform other assigned duties and travel as required

🎯 Requirements

• Bachelor’s degree from an accredited university or college preferred • Applicable professional certification in the field preferred • Five (5) years of claims management experience, or an equivalent combination of education and experience • Expertise in insurance principles and legislation, recoveries, offsets, deductions, claim and disability duration, cost containment, medical management, and Social Security and Medicare procedures • Excellent verbal and written communication skills, including presentation skills • Proficiency with computer applications, including Microsoft Office products • Analytical and interpretive skills • Strong organizational skills • Good interpersonal skills • Excellent negotiation skills • In-depth knowledge of provincial workers’ compensation boards, including CNESST • Bilingualism (French and English) is required for candidates seeking to work in Quebec • Ability to meet or exceed service expectations • Ability to work in a team environment

🏖️ Benefits

• Work-life balance • Inclusive, barrier-free recruitment and selection processes • Workplace accommodation support when required • Quality program support

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