Disability Case Administrator

3 weeks ago


Toronto, Canada Toronto District School Board Full time

No. SCH II-23-0147NTE
POSTED: May 25, 2023

DEADLINE: 12:00 noon: June 2, 2023**
**Disability Case Administrator**

1 - Acting Position

**Employee Services**
**Schedule II, Level 6**

**(Non-Union - 12 Month)**
**$76,718 - $92,072
**_(It is anticipated that the acting assignment will end on June 30, 2024)
- **

**The Toronto District School Board adheres to equitable hiring, employment and promotion practices.**
- Reporting to the Disability Case Officer or Central Coordinating Principal, the Disability Case _
- Administrator will be responsible for administration of the Board’s short term leave disability plan _
- (STLDP) and WSIB. Responsibilities include claims adjudication, on-going case management, _
- claim notification, return to work, work accommodations and transfer of employees from STLDP _
- to long term disability (LTD). _
- The Disability Case Administrator will serve as a resource for employees, managers, supervisor, _
- unions, federations, external providers and other parties with respect to disability case _
- management processes. _

**Summary of Duties**:
Review and analyze medical information received and adjudicate claims ensuring legislative

compliance and adherence to collective agreements, terms and conditions, related policies,
procedures, practices and guidelines;
Identify cases requiring further medical management and arrange/facilitate for medical
examinations and other health evaluations (e.g., IME’s, rehabilitation services,);
Follow up with claimants to ensure appropriate information is received to adjudicate claim;
Request additional information from the treating physician, where necessary;
Work closely with various stakeholders to ensure effective early intervention;
Maintain regular contact with employee and various stakeholders throughout the disability

management process;
Analyze restrictions and limitations and ensure appropriate plans are in place to address the same;
Liaise with medical providers to ensure effective and timely return to work and appropriate

rehabilitative plans are implemented that will enable successful re-entry of employees into the
workplace;
Facilitate the seamless transition of employees transferring to Long Term Disability and returning
from LTD;
Ensure appropriate records are maintained regarding sick leave allotments as required.
Enter and update claims information on disability claim management system (e.g., Parklane);
Escalate complex cases to the Disability Case Officer, Central Coordinating Principal or

Coordinator,as required;
Ensure disability and WSIB claims are processed in timely manner including providing claimants

with appropriate information;
Communicate claims information and decisions to appropriate stakeholders, as required;
Maintain confidentiality of all medical records and documentation;

Provide interpretation, advice, guidance and assistance to employees regarding the short term
disability management program, WSIB and EAP;
Develop timely, safe, and effective return to work plan and strategies in conjunction with
employees, managers/supervisors, union/federation;
Facilitate return to work through various strategies, which may include site visits, as required;
Deliver training programs and communication strategies as required;
Attend and participate in meetings including committees and workgroups;
Liaise with various stakeholders as required;
Liaise with Staffing Unit(s) on allotment changes and sick leave refresh entitlements;
Provide support for grievances/arbitrations/hearings, WSIB appeals and tribunals; and represent

the Board where required;
Assist with the preparation of submissions for grievances/arbitrations/hearings, WSIB appeals and

tribunals;
Review and analyse reports (e.g., absence reports) to determine trends, appropriate course of

action and interventions required and provide information to others as needed;
Monitor and review absence information (e.g. consecutive absence reports) and ensure

appropriate adjustments are made to sick leave allotment, vacation and miscellaneous quotas;
Monitor return to work and ensure quota allotments are adjusted further, as needed;
Provide leadership in fostering equity and inclusiveness in the development and implementation of

programs and services; and
Respond to inquiries regarding related entitlements as per Collective Agreement requirements and

Terms and Conditions; and
Other duties as assigned.

**Qualifications**:
University degree in a related field such as Health Sciences (e.g., Bachelor of Health Sciences,

Occupational Health Nurse, Rehabilitation Services) and three years of related experience in
disability case management in a large, unionized organization, or equivalent combination of
education and experience;
Demonstrated training and experience in claims adjudication and claims management,
rehabilitative employment, modified return-to-work and accommodations;
Knowledge of WSIA, Occupational Health and Safety Act, Human Rig



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