Senior Workers Compensation Case Manager

🕒 5 days ago

🇨🇦 Canada – Remote

💵 $80k - $95k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Alight Solutions

WebsiteLinkedInAll Job Openings

10,000+ employees

🤝 B2B

🏥 Healthcare

☁️ SaaS

💰 $22.5M Post-IPO Secondary - Alight Solutions on 2023-08

B2B • Healthcare • SaaS

Alight Solutions is a leading benefits administration provider that delivers health, wealth, leave, and related HR point solutions for large organizations and their employees. The company helps manage benefits administration and human capital-related processes for enterprises, serving many of the world’s largest organizations and over 30 million people. Alight also emphasizes product and technology roles, corporate sustainability, total rewards, and a focus on transforming lives and organizations by maximizing health, financial and work wellbeing.

📋 Description

• Manage complex, long-term, and workplace injury workers’ compensation claims • Establish clear paths toward rehabilitation, reintegration, return to work, or appropriate alternative plans • Assess medical, functional, workplace, and other return-to-work barriers • Develop, implement, coordinate, and monitor return-to-work and rehabilitation strategies • Liaise with provincial WCBs on claim management, adjudication, return-to-work planning, and claim resolution • Interpret and apply provincial workers’ compensation legislation, policies, procedures, and practices • Critically review WCB decisions and identify appeal or objection issues • Draft letters of objection and support or pursue appeal strategies • Identify and pursue cost mitigation opportunities, including cost relief • Provide earnings information and other claim-related documentation • Facilitate third-party interventions, including FCEs, IMEs, and other rehabilitation or medical assessments • Pursue claim progression and closure while balancing care, return-to-work outcomes, legislative requirements, and client objectives

🎯 Requirements

• Ontario Paralegal or Lawyer license required • Minimum of 5 years of experience in workers’ compensation claims management, including complex and/or long-duration claims • Subject matter expertise across Provincial Workers’ Compensation Boards, including applicable statutes, legislation, policies, procedures, and practices • Experience with return-to-work planning, rehabilitation strategies, claims resolution, and cost mitigation • Knowledge of workplace health and safety practices and workers’ compensation experience-rating principles • Analytical and critical-thinking skills, including evaluating WCB decisions and identifying appeal, objection, or cost-relief opportunities • Excellent written and verbal communication skills • Ability to manage competing priorities and complex cases in a fast-paced, deadline-driven environment • Ability to work independently and collaborate effectively across teams • Proficiency with Microsoft Word, Excel, and Outlook • Post-secondary education in a related discipline or equivalent experience • Work authorization in Canada without current or future visa sponsorship requirements

🏖️ Benefits

• Health, dental and vision coverages starting Day One • Wellbeing programs • Retirement plans with contribution matching • Generous time off • Parental leave • Continuing education • Career growth opportunities • Flexible working arrangements wherever possible • Occasional travel to physical office locations may be required • Competitive total rewards package • Background checks and hiring-process accommodations

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