Officer, Workers Compensation Claim

6 days ago

Montréal, Canada Canadian National Railway Full time

At CN, we work together to move our company—and North America—forward. Be part of our TA team, a critical piece of the engine that keeps us in motion. You will be able to develop your skills and career in our close-knit, safety-focused culture working together as ONE TEAM. We offer meaningful opportunities because the work we do matters. Join us

Job Summary

The Officer, Workers Compensation Claims is responsible for acting as a point of contact for all stakeholders in establishing new disability claims, providing status updates and responding to inquiries. As the front line for all Return to Work programs at CN, the incumbent assists the Manager, Workers Compensation in assessing barriers to successful and timely return to work. The role applies sound judgement and accuracy in the setup of disability claims and in the communication of information to all stakeholders involved in employee claims

Main Responsibilities

Workers Compensation Board (WCB) Claims Management
- Review all new claims and enter all available data into Systems, Applications and Products (SAP) within 24 hours of receiving notification of an injury
- Review, investigate, and gather additional information to validate each new injury claim and report it to the provincial WCB
- Communicate with employees and managers on a regular basis to assist in the claims process, monitor treatment plans, and determine Return to Work opportunities
- Review medical documentation throughout the life of each file to validate that diagnosis continues to relate to original injury
- Liaise with provincial WCB in Return to Work planning and claims requiring secondary reviews, appeals and medical arbitration
- Initiate and represent CN in secondary reviews, appeals and medical arbitration within legislative deadlines at Provincial Tribunals and Appeal Commissions
- Maintain claim files for all employees including claim details, statuses, action plans and Return to Work progress
- Research related WCB policies and legislation to ensure appropriate benefits are being paid to employees
- Initiate review of, manage and resolve long-standing disability claims where employee is totally and permanently disabled, and all opportunities for accommodation have been exhausted

Accommodation for Non-Occupational Injuries
- Gather medical restriction profiles for employees from insurers, occupational health services and physicians
- Work with regional stakeholders in finding suitable accommodations
- Document data into SAP for all non-occupational claims
- Coordinate Return to Work and monitor employee progress while on accommodated duties

Account Management
- Manage financial portfolio of between $5M - $10M
- Ensure efficient account management
- Review invoices and validate all costs
- Represent CN as a member of each respective Regional Employer Group

Working Conditions

The role has standard working conditions in an office environment with a regular workweek from Monday to Friday. The role requires mínimal travel (between 10% - 15%) to visit regional offices and during audits. The role requires being available on-call 24/7 to respond to critical incidences. Due to the nature of the role, the incumbent must be able to meet tight deadlines, handle pressure and manage stress.

**Requirements**:
Experience

Disability Management
- Between 3 to 5 years of hands on experience in disability management and insurance
- Previous experience in workplace accommodation and claim resolution
- Employment at a provincial workers compensation board*
- Any experience for these above would be considered as an asset

Education/Certification/Designation
- Bachelor’s Degree in a related Healthcare Field, Social Science, Business, Human Resources or comparable work experience
- National Institute of Disability Management and Research Certification*
- Any designation for these above would be considered as an asset

Competencies
- Addresses risks in a timely manner to eliminate them
- Shares timely information within and across functions to get things done effectively
- Collaborates with key internal stakeholders to enable higher productivity
- Builds and maintains an internal network to support a better overall work experience
- Inspires others with impactful communications and adapts to the audience
- Influences by translating expertise into practical business outcomes
- Applies analytical thinking to make recommendations that pursue sustainable performance
- Deals with pressure and change by staying calm to quickly adapt to changes
- Fluently bilingual both written and verbal (English, French)*
- Any skills/attributes for these above would be considered as an asset

Technical Skills/Knowledge
- Proficiency in Microsoft Office
- Knowledge of disability management tools
- General knowledge of the railway industry
- General knowledge of Federally regulated employers
- Strong knowledge of applicable provincial Workers Compensation legislations, policies and business procedures
- Knowl

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