Abilities Claims Specialist

7 days ago


Burlington, Ontario, Canada AppleOne Full time

Job Summary:

We are seeking a highly skilled Disability Management Professional to join our team at AppleOne. As an Abilities Claims Specialist, you will play a critical role in facilitating and promoting a safe return-to-work for employees through gathering and reviewing medical information and case investigation.

Key Responsibilities:

  1. Case Management: Facilitate and promote a safe return-to-work for employees through gathering and reviewing medical information and case investigation, including documentation of case management plans and rationale.
  2. Stakeholder Communication: Communicate with key stakeholders, employees, and health care providers to adjudicate and manage return-to-work planning.
  3. Transition Management: Manage the transition to LTD and provide medical and summary case management to the LTD insurer to ensure a seamless transition.
  4. Return-to-Work Planning: Monitor return-to-work plans and provide regular updates to all stakeholders.
  5. Collaboration: Collaborate with internal and external experts, including physicians, ergonomists, safety specialists, external providers, WSIB, and insurance companies.
  6. Policies and Practices: Expert knowledge of WSIB, OHRA, LTD, and AODA policies and practices.
  7. Team Collaboration: Work closely with other members of the Employee Health Services and Human Resources teams.
  8. Disability Management: Enhance and champion disability management and return-to-work strategies and related programs, and foster a strong culture of employee health, safety, and wellness.
  9. WSIB Claims: Liaise with the Health and Safety Specialist in regards to WSIB claims for work-related illness or injury.
  10. Payroll Coding: Advise/assist with payroll coding.

Requirements:

  1. Education: Post-secondary degree, diploma in a related field, or certificate in a Disability Management related field with an equivalent combination of work experience.
  2. Experience: Minimum three (3) years' experience in Disability Management and Return to Work, managing WSIB, STD, and LTD claims.
  3. Legislation Knowledge: Expertise in relevant legislation, e.g. WSIA, Occupational Health & Safety Act, Human Rights Code.
  4. Skills: Excellent problem-solving, time management, prioritization, and conflict resolution skills.
  5. Independence and Collaboration: The ability to work independently while maintaining collaborative relationships with internal and external contacts.
  6. Computer Skills: Strong computer skills in MS Office.
  7. Professional Attitude: Professional attitude, results-oriented, open to a changing environment.
  8. Communication Skills: Excellent presentation, verbal, and written communication skills.
  9. Customer Service: Strong customer service focus.


  • Burlington, Ontario, Canada AppleOne Full time

    Job Summary:AppleOne is seeking an experienced Abilities Specialist to join our team. As an Abilities Specialist, you will play a critical role in facilitating and promoting a safe return-to-work for employees through gathering and reviewing medical information and case investigation, including documentation of case management plans and rationale.Key...


  • Burlington, Ontario, Canada AppleOne Full time

    Job Summary:AppleOne is seeking an experienced Abilities Specialist to join our team. As an Abilities Specialist, you will play a critical role in facilitating and promoting a safe return-to-work for employees through gathering and reviewing medical information and case investigation, including documentation of case management plans and rationale.Key...


  • Burlington, Ontario, Canada AppleOne Full time

    Abilities Management and Return-to-Work SpecialistJoin AppleOne in a challenging role that requires expertise in disability management and return-to-work strategies. As an Abilities Management and Return-to-Work Specialist, you will play a critical role in ensuring a safe and healthy work environment for employees.Key Responsibilities:Develop and implement...


  • Burlington, Ontario, Canada AppleOne Full time

    Abilities Management and Return-to-Work SpecialistJoin AppleOne in a challenging role that requires expertise in disability management and return-to-work strategies. As an Abilities Management and Return-to-Work Specialist, you will play a critical role in ensuring a safe and healthy work environment for employees.Key Responsibilities:Develop and implement...


  • Burlington, Ontario, Canada Organizational Solutions Inc. Full time

    Medical Claims Administrator Job DescriptionYou'll work closely with our Senior Case Managers to assist with reports, new client program launches, and claims reviews. This role requires strong communication and organizational skills, with the ability to work independently or as part of a team, following established procedures.Key Responsibilities:Assist...


  • Burlington, Ontario, Canada Organizational Solutions Inc. Full time

    Medical Claims Administrator Job DescriptionYou'll work closely with our Senior Case Managers to assist with reports, new client program launches, and claims reviews. This role requires strong communication and organizational skills, with the ability to work independently or as part of a team, following established procedures.Key Responsibilities:Assist...


  • Burlington, Ontario, Canada Crawford & Company Full time

    Join Our Team as a Senior Commercial Claims SpecialistAt Crawford & Company, we believe in the power of people helping people. We are seeking dedicated and empathetic individuals to become part of our mission to restore lives, businesses, and communities.With over 80 years of unparalleled global expertise and cutting-edge technology, we are leading the way...


  • Burlington, Ontario, Canada McKeil Marine Limited Full time

    About McKeil Marine LimitedMcKeil Marine Limited is a leading provider of marine services in Canada, renowned for its adaptability and commitment to customer satisfaction. Our organization delivers comprehensive solutions that cater to a wide range of transportation and project challenges, prioritizing customer service, safety, quality, and environmental...


  • Burlington, Ontario, Canada McKeil Marine Limited Full time

    About McKeil Marine LimitedMcKeil Marine Limited is a leading provider of marine services in Canada, renowned for its adaptability and commitment to customer satisfaction. Our organization delivers comprehensive solutions that cater to a wide range of transportation and project challenges, prioritizing customer service, safety, quality, and environmental...


  • Burlington, Ontario, Canada Sécurité Nationale Compagnie d'Assurance Full time

    Job SummaryWe are seeking a highly skilled Accident Benefits Claims Advisor to join our team at Sécurité Nationale Compagnie d'Assurance. As a key member of our Accident Benefits Claims Department, you will be responsible for delivering exceptional customer service and ensuring timely and fair claims resolution.Key ResponsibilitiesGather and Verify...


  • Burlington, Ontario, Canada Sécurité Nationale Compagnie d'Assurance Full time

    Job SummaryWe are seeking a highly skilled Accident Benefits Claims Advisor to join our team at Sécurité Nationale Compagnie d'Assurance. As a key member of our Accident Benefits Claims Department, you will be responsible for delivering exceptional customer service and ensuring timely and fair claims resolution.Key ResponsibilitiesGather and Verify...


  • Burlington, Ontario, Canada Co-operators Full time

    Company: Co-operators Department: Co-operators P&C Claims Employment Type: Regular Full-Time Work Model: Hybrid Language: English is required, French is an asset. Job Grade: UN5 Hiring Manager: John Torosantucci Referral Award: No The Opportunity: As a prominent Canadian financial services cooperative, we are dedicated to fostering a...


  • Burlington, Ontario, Canada Sécurité Nationale Compagnie d'Assurance Full time

    About the RoleThe Sécurité Nationale Compagnie d'Assurance Accident Benefits Claims Department is responsible for delivering exceptional customer experiences through efficient and effective claims resolution.Key ResponsibilitiesGather, organize, and verify documented information from all available sources to ensure a thorough and complete compilation of...


  • Burlington, Ontario, Canada Sécurité Nationale Compagnie d'Assurance Full time

    About the RoleThe Sécurité Nationale Compagnie d'Assurance Accident Benefits Claims Department is responsible for delivering exceptional customer experiences through efficient and effective claims resolution.Key ResponsibilitiesGather, organize, and verify documented information from all available sources to ensure a thorough and complete compilation of...


  • Burlington, Ontario, Canada TD Full time

    Position Overview:As a key member of the TD Insurance Accident Benefits Claims Department, you will play a vital role in ensuring a seamless and valuable experience for our clients through efficient claims resolution.Key Responsibilities:1. **Information Gathering:** Collect, organize, and verify all relevant documentation from various sources to ensure a...


  • Burlington, Ontario, Canada Co-operators Full time

    About Co-operators Co-operators is a leading Canadian financial services co-operative dedicated to building a sustainable and resilient society. We prioritize our people, fostering a strong culture and development opportunities that empower our team to thrive and live our purpose. Our Claims team strives to provide peace of mind for our clients and...


  • Burlington, Ontario, Canada Co-operators Full time

    Company: Co-operators Department: Claims Employment Type: Regular Full-Time Work Model: Hybrid Language: This role operates in English. Additional Information: There are 4 positions available. The Opportunity: As a prominent Canadian financial services cooperative, we are dedicated to fostering a sustainable and resilient society. Our...


  • Burlington, Ontario, Canada Crawford & Company Full time

    Why Choose Crawford?At Crawford & Company, we believe in the power of community and support. Our mission is to assist individuals and businesses during challenging times, and we are seeking dedicated and empathetic professionals to join our team. With over 80 years of unparalleled global experience and cutting-edge technology, we are leaders in the industry....


  • Burlington, Ontario, Canada Crawford & Company Full time

    Why Join Crawford & Company? At Crawford & Company, we believe in the power of people helping people. Our mission is straightforward: to restore lives, businesses, and communities. We are seeking dedicated and empathetic individuals to become part of our team, contributing to our vision of making a positive impact during challenging times. With over 80...


  • Burlington, Ontario, Canada Co-operators Full time

    Company: Co-operators Department: P&C Claims Employment Type: Regular Full-Time Work Model: Hybrid Language: English is required, French is an asset. Job Grade: UN5 Hiring Manager: John Torosantucci Referral Award: No The Opportunity: At Co-operators, we are a prominent Canadian financial services cooperative dedicated to fostering a...