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Workers Comp Case Manager

2 weeks ago

Toronto, Canada CloudMD Software & Services Inc - CAN Full time

**Who We Are**

Kii Health (formerly CloudMD) is transforming the delivery of healthcare using technology and by providing a patient-centric approach, with an emphasis on continuity of care. By leveraging healthcare technology, the Company is building one, connected platform that addresses all points of a patient’s healthcare journey and provides better access to care and improved outcomes. Through Kii Health’s proprietary technology, the Company delivers quality healthcare through a holistic offering including hybrid primary care clinics, specialist care, telemedicine, mental health support, healthcare navigation, educational resources, and artificial intelligence (AI).

**What You'll Be Doing**

The primary purpose of the Workers’ Compensation Case Manager is to represent the Client Company’s interest and to provide claims advice following Workers’ Compensation statutes and policies to: effect an appropriate/speedy return to work for the employee; minimize/mitigate costs for the Client; and satisfy the needs of the Client, thereby continuing the business relationship. This position will be reporting directly to the Director of Claims Management. This position has a term of 1 year with the possibility of extension.

**Responsibilities**:

- Manage Workers’ Compensation cases following legislation, policies and procedures and being cognizant of other impacting legislation;
- Pursue cost recovery, cost containment and cost avoidance opportunities on behalf of the Client Company;
- Maintain excellent working relations with the client and effective liaison with Workers’ Compensation Boards
- Provide timely, clear and concise reports to the Client and provincial workers’ compensation boards and other stakeholders as required;
- Co-coordinate customer interface through regular meetings, on site consultation and telephone communications as necessary;
- Provide claims review and timely completion of employer reporting forms to CNESST, BEM and other governing bodies as required
- Prepare objections and appeals, representing the interests of the employer
- Case management activities to include correspondence with the injured worker/employee, drafting return to work plans, facilitate and attend meetings
- Meet defined objectives of client satisfaction, service delivery and billing expectations;
- Assist in the generation and capitalization of opportunities for new revenue.

**General Performance Expectations**:

- Maintain current technical knowledge in Workers’ Compensation and related legislation;
- Maintain regular communication with clients to foster a strong client relationship;
- Collaborate with clients and internal team members to ensure goals are being met;
**What You Need to Be Successful**
- College diploma or university degree in a paralegal or related field (e.g. Business, Social Sciences, Administration)
- A minimum of three (3) years’ experience in adjudication and case/claims management, based on interpretation of relevant statutes and principles, in the Workers’ Compensation / CNESST environment.
- Professional development related to Workers’ Compensation and other impacting legislation;
- Having the options required in the appeal process for decisions at the TAT
- 3 years of experience in return-to-work planning and facilitation

**What You Need to Stand Out**
- Disability management experience is an asset
- Having knowledge and experience of the financial impact of files is an asset
- CNESST case management experience
- Fluent in both French and English is an asset
- Time management and organizational skills
- Effective oral and written communication skills
- Analytical and decision-making skills
- Excellent customer service skills

**Schedule**:

- Full-time 37.5 hours per week
- Monday to Friday
- Fully remote work model
- 1-year contract with the possibility of extension

Kii Health is an equal opportunity employer. We do not discriminate on the basis of race, ancestry, religion, color, national origin, gender, sexual orientation, gender orientation or expression, political belief, age, marital status, or disability status.

Protecting the safety and welfare of employees, clients, and patients that use our services is of utmost importance to us. For this reason, final applicants will be asked to undergo a background check.