claims adjudicator

1 week ago


Vancouver, British Columbia, Canada WorkSafe BC Full time $45
Senior Adjudicator

Permanent, Full Time Number of Positions: 8
We have exciting opportunities for our Senior Adjudicator role in our Richmond, Surrey, Victoria, and Kelowna offices.

You'll work in a client-centered environment to support and educate clients and address questions regarding claims processes.

You will be responsible for claim eligibility decisions and subsequent benefits such as wage loss benefits and health care payments.

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

C. home and occasionally in your assigned home office.
Manage an adjudicative caseload with a variety of complex claims including occupational diseases, activity- related soft tissue disorders (ASTD), aggravations of pre-existing diseases, sensitive claims, appellate returns, mental health claims, and involving a combination of mental health and physical injury claims
Ensure that 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
Maintain a current and comprehensive knowledge of claims adjudication best practices, procedures, and processes and routinely provide training, coaching, and mentoring to team members
Determine claim eligibility, disability status, and benefit entitlement
Manage a demanding workload under time pressure and be accountable for prioritizing and organizing a variety of work on an assigned caseload to meet performance objectives
Make decisions using sound judgement where specific formal guidelines and policies may not exist
An undergraduate (bachelor's) degree
A minimum of three years of experience making complex adjudicative decisions or applying law and/or policy to make complex determinations in the last 10 years
Confirm you have a valid BC driver's license
Please note, this position will involve occassional travel to other WorkSafeBC offices as well as to external job sites around the province

WorkSafeBC's COVID-19 Employee Mandatory Vaccine Policy (the 'Policy') is suspended effective January 9, 2023, however we reserve the right to re-implement it in response to changes in the public health landscape, including public health orders.

We partner with workers and employers to save lives and prevent injury, disease, and disability. Our positions offer diversity and opportunities for professional growth.

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.

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.

Defined benefit pension plan
~Health care and dental benefits
~ Applications are welcomed immediately, however must be received no later than 4:30 p

m Please apply online at:
#J-18808-Ljbffr
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