Appeal Services Officer

3 weeks ago

Toronto, Canada Workplace Safety and Insurance Appeals Tribunal Full time

The Workplace Safety and Insurance Appeals Tribunal (WSIAT) is a highly specialized adjudicative tribunal that hears appeals of final decisions of the Workplace Safety and Insurance Board (WSIB). We are looking for a motivated professional for the position of Appeal Services Officer, to work with a team of staff involved in case appeals to process and close cases. The salary range for this position is $26.89 to $31.65 per hour.

**What can I expect to do in this role?**: In a team environment, you will process and maintain a high volume of appeals, including some or all of the following duties and responsibilities:

- conducting an initial review of case documentation and preparing the appeal for further review/processing by reviewing appeal forms, confirming appropriate releases have been signed, addressing any deficiencies in forms, requesting information and files from the WSIB, and preparing case documents
- actively processing, monitoring and updating case files by entering new data into a case management system, communicating with parties by telephone, assisting unrepresented workers with the appeal process, composing and sending correspondence, reviewing incoming correspondence, requesting missing or required information, and identifying privacy or reporting breaches
- facilitating processing of appeals that have become dormant/inactive by examining what transpired, assessing the problem or issues with the case, determining what action needs to be performed to get the file “hearing ready”, or closing the appeal as appropriate
- maintaining a pool of case files that have been approved “hearing ready” by reviewing correspondence or WSIB claim files, ordering missing portions of files and/or better copies of documents from the WSIB, preparing case records and case materials, ensuring appropriate disclosure of new information to parties and communicating with other departments as needed
- closing appeals that have been abandoned or where the WSIAT has no jurisdiction by creating and sending letters to appellants advising them of deadlines, responding to queries from parties, drafting Notices of Intent to Close, and referring the case file to appropriate staff for closing when appropriate.

**How do I qualify?**:
**Mandatory**: Knowledge:

- You have knowledge and understanding of the Workplace Safety and Insurance Act and related legislation, or the ability to acquire this knowledge in order to assess case files
- You have working knowledge of the Freedom of Information and Protection of Privacy Act and of privacy related issues in order to recognize information disclosed in error and deal with sensitive or prejudicial material
- You have general knowledge of relevant legal and medical terminology to assess injury codes and related claims

**Communication and Interpersonal Skills**:

- You have advanced oral and written communication in English. For the bilingual position, you also have advanced oral and written communication in French.
- You have excellent interpersonal and communication skills to explain detailed appeal processes
- You have excellent written communication skills to produce letters and documents with accuracy and completeness
- You have demonstrated discretion, tact and diplomacy to deal with parties who may be frustrated or difficult

**Computer Skills**:

- You have knowledge of computerized tracking/database systems in order to input, manipulate and search data

**Analytical and Organizational Skills**:

- You have excellent organizational skills to determine priorities and respond to deadlines within tight production standards while balancing competing demands
- You have the ability to multitask in order to manage a large caseload
- You have excellent research and analytical skills to verify information, investigate and report on case status
- You have excellent attention to detail in order to accurately record data

1. Please submit your resume and cover letter through our online WSIAT Career Centre

2. Customize your cover letter and resume to the qualifications listed on the job ad. Using concrete examples, please show how you demonstrated the requirements for this job.

1. Please log onto your ADP account and select myself>Talent>Career Centre.

2. Customize your cover letter and resume to the qualifications listed on the job ad. Using concrete examples please show how you demonstrated the requirements for this job. We rely on the information you provide to us.

The Workplace Safety and Insurance Appeals Tribunal is an inclusive employer.

Accommodation is available under the Ontario Human Rights Code.

Job advertisements for positions that have been designated bilingual will be provided in both English and French on the website. Positions that are not designated bilingual are not translated and are displayed in English only on both the English and French versions of the website.

Les annonces d'emploi pour les postes désignés bilingues sont publiées en français et e

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