Permanent Impairment Administrator
8 months ago
Provide administrative support to facilitate the Non-Economic Loss (NEL) and Permanent Disability (PD) assessment and rating process within legislative requirements and WSIB policies and procedures. Provide information to workers, employers and other stakeholders regarding the NEL/PD process
**Key Accountabilities and Responsibilities**
- **Prepare NEL referrals for accurate and efficient processing by**:
- Importing new claim referrals for allocation
- Assigning correct codes based on file priority
- Identifying correct area of injury and diagnosis
- Entering information into multiple WSIB systems and appropriately documenting information in the in the claim file
- Returning the claim file to Case Manager if information is incorrect or missing
- Forwarding all relevant information to the NEL Clinical Specialist once it has been determined that all processing criteria has been met
- **Prepare decision letters on behalf of the NEL Clinical Specialist/ NIHL Adjudicator by**:
- Selecting the appropriate decision letter template based on the Rating Sheet
- Adjusting templates for special circumstances
- Attaching NEL Evaluation Rating Sheets to the correct decision letters
- Preparing documents for outgoing mail
- Cross-checking correspondence prepared by other team members to ensure accuracy and the protection of worker and employer personal information
- **Process NEL payment authorizations by**:
- Cross-checking information on the NEL Rating Sheet against the NEL database for accuracy
- Ensuring the proper payment code and impairment percentage is applied and communicated to Payment Services
- Identifying the method of payment (i.e. lump sum, monthly award) to be followed
- Expediting NEL/PD benefit payments based on proof of financial hardship
- Arranging for cheque pick-ups and stop payments by notifying Payment Services
- **Inform and educate internal and external parties regarding NEL policies and procedures by**:
- Responding to telephone enquiries from workers, employers, representatives and WSIB staff, regarding the NEL administrative process
- Providing information about the NEL benefit and its calculation
- Ensuring all parties are aware of their rights and obligations
- **Perform other related duties as assigned or required such as**:
- Sending NEL rating requirements to Case Managers when information is missing
- Sorting overpayment cheques for management approval and forwarding these to Treasury for release
- Verifying appropriate medical documents and letters for French translation
- Sorting documents by category for scanning and storage
- Responding to inquiries from WSIB staff regarding the status of PD assessments
- Tracking PD assessment referrals from the time of entry into the Permanent Impairment Program to the time of completion
- Collecting data regarding the PD assessment process including volumes, inventory, PD award quantum and processing time
**Job Requirements**
- Education:
- High school completion.
- Experience:
- One year prior experience in an office environment.
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