Disability Claims Specialist

7 months ago


Toronto, Canada Michael Garron Hospital Full time

OVERVIEW

The Disability Claims Specialist (DCS) under the direction of the Manager of Occupational Health and Safety will be providing expert case management of disability claims/cases including WSIB, Short Term Disability, Long Term Disability, return to work, absence management, and work accommodation processes. DCS will be a resource in case management process by reviewing policies, procedures, and processes regarding disability management, making recommendations and facilitating their implementation. The DCS’s strategic skills will contribute to the collection, assessment and analysis of data/indicators by providing and supporting recommendations for continuous improvement and best practice processes. The DCS in conjunction with internal and external resources collaborate to ensure successful and timely outcomes. The DCS will provide disability case management to health care workers to ensure safe and early return to productive employment. This includes educating, planning, and facilitating successful return to work plans ill/injured employees. The DCS will ensure timely and effective interventions to maximize cost avoidance and cost recovery.

**Responsibilities**:

- Evaluate, monitor and manage short term disability (STD), and work alongside the Hospital’s Long term disability (LTD) provider in the management of LTD claims and return to work planning.
- Receive, review, follow up, and communicate a determinateof whether medical documentation is satisfactoryto the Hospital for sick leave benefits under the Hospitals of Ontario Disability Income Plan (HOODIP).
- Report and Manage WSIB claims with goal of early and safe return to work programs and reduction of lost time. File required objections andreconsiderations of WSIB case files for appeals.
- Manage non-compensable and compensable illness and injuries with requested appropriate medical inquiries and interventions.
- Lead and monitor the development of best practices in disability management.
- Prepare and submit documentation for IME evaluations.
- Assist and provide consultation to Human Resources regarding the Hospital’s Attendance Management Program.
- Collaborate with workers, unions, managers and relevant health practitioners on a regular basis.
- Attend and assist Human Resources and Labour relations with grievances and arbitrations.

EDUCATION
- Bachelor's Degree in a relevant discipline such as Nursing, Kinesiology or Physiotherapy required.
- Occupational Health Nursing experience preferred.
- Disability Management Certification preferred (CDMP, CRTWC).
- Certificate in Occupational Health and Safety preferred.

QUALIFICATIONS
- Minimum of 3-5 years of recent related experience in Occupational Health & Safety (in a unionized healthcare environment preferred).
- Demonstrated knowledge of Disability Case Management is required.
- Experience with WSIB claims management.
- Excellent conflict resolution and mediation skills.
- Experience with data management and statistics.
- Exceptional interpersonal, leadership, problem solving, and teaching skills.
- Self-motivated with superior organizational and time management skills.
- Ability to work collaboratively with a broad range of stakeholders.
- Experience with Parklane software preferred.
- Applies findings to developand implement practice changes as required.
- Update Disability Management Reports & Programs.
- Good work and attendance record is required.
- All employees of Michael Garron Hospital(Hospital (MGH),a division of Toronto East Health Network (TEHN) [formerly Toronto East Toronto East General Hospital (TEGH)] agree to work within the

legislated practices of the Occupational Health and Safety Act of Ontario.
- All employees of MGH are responsible to contribute to a transparent culture of patient and staff safety by adhering to and abiding by patient and staff safety policies and procedures set by MGH.
- All employees are accountable for protecting the psychological health and safety of themselves and their co-workers through adherence to MGH's policies and practices.
- Vaccines (COVID-19 and others) are a requirement of the job unless you have an exemption pursuant to the Ontario Human Rights Code.

**Other Requirements**:

- Must be able to participate in rotating On-Call duties



  • Toronto, Ontario, Canada CIE_101 Beneva Inc. Full time

    Are you looking for a challenging role in claims management within a dynamic and growing team at CIE_101 Beneva Inc.? We are seeking an experienced Disability Claims Adjudication Specialist to join our national insurance company. As a key member of our team, you will be responsible for managing a diverse portfolio of short and long-term disability claims.The...


  • Toronto, Canada Manion Wilkins & Associates Full time

    **WHO ARE WE?** We’re Manion, a Canadian firm that provides third party benefits administration, payments, and consulting services. Providing solutions to streamline the administration of an organization’s pensions and health benefits, they know how to deliver the highest value. Manion leads the way in web-based plan access and administration, making it...


  • Toronto, Canada Manion Wilkins & Associates Full time

    **WHO ARE WE?** We’re Manion, a Canadian firm that provides third party benefits administration, payments, and consulting services. Providing solutions to streamline the administration of an organization’s pensions and health benefits, they know how to deliver the highest value. Manion leads the way in web-based plan access and administration, making it...


  • Toronto, Canada The Canada Life Assurance Company Full time $41,400 - $55,900

    Permanent Full Time We're hiring for Disability Claims Administrator in Toronto, ON. To handle all incoming Creditor initial claims and requests via fax, phone and email and to ensure that claim contents are all in tact so that the Claims staff can assess and process Creditor life, Critical Illness, disability, and Job Loss claims within the...


  • Toronto, Canada Royal Bank of Canada Full time

    **Job Summary** **What’s the Opportunity?** We offer remote work opportunities in the provinces of Ontario, New-Brunswick, Alberta and Manitoba. If you’re located in the GTA, you also have the option to work from our offices in Mississauga or Toronto. As a Disability Claims Analyst, you’ll assess and manage individual disability claims, ensuring...


  • Toronto, Canada Legal Aid Ontario Full time

    Company Bio Legal Aid Ontario employees are committed to making a difference in the lives of our clients. As an integral partner in the Justice system, working at Legal Aid Ontario is more than just a job. It's an opportunity to help people who need it the most; to ensure each client receives the access to justice afforded to them under the law. If you are...


  • Toronto, Canada Royal Bank of Canada Full time

    **Job Summary** **What is the opportunity?** - Remote work available in the following provinces: Ontario, New-Brunswick, Nova Scotia, Alberta, Manitoba and Prince Edward Island._ **What will you do?** - Adjudicate claims by utilizing a multidisciplinary claim management model to ensure objective, fair and thorough claim adjudication, while complying with...

  • Claims Specialist

    3 weeks ago


    Toronto, Canada NGE Canada Full time

    About UsNGE Canada is an affiliate of the NGE Group, a leading construction company based in France. As NGE expands its presence internationally, NGE Canada is seeking a detail-oriented and proactive Claims Specialist to join our team.You will be part of an international team, composed mainly of engineers and construction employees, able to meet the...

  • Claims Specialist

    3 weeks ago


    Toronto, Canada NGE Canada Full time

    About UsNGE Canada is an affiliate of the NGE Group, a leading construction company based in France. As NGE expands its presence internationally, NGE Canada is seeking a detail-oriented and proactive Claims Specialist to join our team.You will be part of an international team, composed mainly of engineers and construction employees, able to meet the...


  • Toronto, Canada Crawford & Company Full time

    Position Summary We are currently recruiting for a Content Claims Specialist - Field  to join our team in Toronto , ON, Canada . The position location is flexible, and we can offer in-office, hybrid or fully remote working arrangements. The role of Content Claims Specialists is a multi-faceted role, which focuses primarily in the following four key...

  • Claims Specialist

    3 weeks ago


    Toronto, ON, Canada NGE Canada Full time

    About Us NGE Canada is an affiliate of the NGE Group, a leading construction company based in France. As NGE expands its presence internationally, NGE Canada is seeking a detail-oriented and proactive Claims Specialist to join our team. You will be part of an international team, composed mainly of engineers and construction employees, able to meet the...

  • Claims Specialist

    3 weeks ago


    Toronto, ON, Canada NGE Canada Full time

    About Us NGE Canada is an affiliate of the NGE Group, a leading construction company based in France. As NGE expands its presence internationally, NGE Canada is seeking a detail-oriented and proactive Claims Specialist to join our team. You will be part of an international team, composed mainly of engineers and construction employees, able to meet the...

  • Claims Specialist

    3 weeks ago


    Toronto, Ontario, Ontario, Canada NGE Canada Full time

    About UsNGE Canada is an affiliate of the NGE Group, a leading construction company based in France. As NGE expands its presence internationally, NGE Canada is seeking a detail-oriented and proactive Claims Specialist to join our team.You will be part of an international team, composed mainly of engineers and construction employees, able to meet the...


  • Toronto, Canada XL Catlin Full time

    **Flexible Work Eligible**: None **DISCOVER your opportunity** **Claims Specialist - Casualty Claims** Toronto, Ontario - HYBRID Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a...

  • Claims Specialist

    2 weeks ago


    Toronto, Canada AXA Full time

    Claims Specialist - Casualty Toronto, Canada Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of continuous improvement. You create an environment that fosters...

  • Claims Specialist

    2 weeks ago


    Toronto, Canada XL Catlin Full time

    **Flexible Work Eligible**: None **DISCOVER your opportunity** Claims Specialist - Casualty Toronto, Canada Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of continuous...


  • Toronto, Canada Legislative Assembly of Ontario Full time

    Keeping Ontario’s Legislative Assembly running smoothly takes many talented people, doing many different jobs—from camera operators and committee clerks, to purchasing officers and researchers. The Office of the Assembly is dedicated to serving Ontario’s Parliament. Together, we provide non-partisan administrative and procedural services to all MPPs,...

  • Claims Specialist

    6 months ago


    Toronto, Canada AXIS Insurance Full time

    This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS,...


  • Toronto, Canada Royal Bank of Canada Full time

    **Job Summary** **What is the opportunity?** - Remote work available in the following provinces: Ontario, New-Brunswick, Nova Scotia, Alberta, Manitoba and Prince Edward Island._ **What will you do?** - Adjudicate claims by utilizing a multidisciplinary claim management model to ensure objective, fair and thorough claim adjudication, while complying with...


  • Toronto, Canada Ontario Nurses’ Association Full time

    Posting Details Job Details Description Location: Toronto, ON, Canada Type: Permanent Full-Time Group/Grade: Non-Union Non-Management Date: October 23, 2023 Founded in 1973, the (ONA) is a leading health-care union representing 68,000 registered nurses and healthcare professionals, and more than 18,000 nursing student affiliates,...