Current jobs related to Wsib Claims Management Advisor - Mississauga - Bayshore HealthCare
-
Wsib Claims Coordinator
1 week ago
Mississauga, Canada Bayshore HealthCare Full timeBayshore HealthCare is a privately held company and has consistently delivered strong growth in home care, specialty pharma and served diversified client groups and communities across Canada. It is a complex organization, comprised of several legal entities and operating segments, with a strong employee centric, entrepreneurial culture. Bayshore HealthCare...
-
Remote Claims Adjuster: Impact
3 weeks ago
Mississauga, Canada Sedgwick Claims Management Services Ltd Full timeA leading claims management firm in the Peel Region is seeking a Field Adjuster to manage insurance claims effectively. The successful candidate will conduct investigations, determine claims coverage, and maintain accurate records while also being involved in local marketing efforts. Ideal applicants should have post-secondary education and proven skills in...
-
Claim Advisor
2 weeks ago
Mississauga, Canada Desjardins Full timeAt Desjardins, we believe in equity, diversity and inclusion. We're committed to welcoming, respecting and valuing people for who they are as individuals, learning from their differences, embracing their uniqueness, and providing a positive workplace for all. At Desjardins, we have zero tolerance for discrimination of any kind. We believe our teams should...
-
Accident Benefits Claims Advisor
2 hours ago
Mississauga, Canada Desjardins Group Full timeAccident Benefits Claims Advisor page is loaded## Accident Benefits Claims Advisorremote type: The work arrangement for the position is hybrid worklocations: Mississauga: Burlington: Auroratime type: Full timeposted on: Posted Yesterdayjob requisition id: R2600682If you are passionate about helping people, we provide the technical training and...
-
Mississauga, Canada TD Securities Full timeA major financial services company in Mississauga is seeking an Auto Claims Advisor I. This role involves supporting customers through the claims process, ensuring they receive personalized advice and assistance during their time of need. Ideal candidates will have customer service experience, strong communication skills, and a willingness to learn. Growth...
-
Mississauga, Canada TD Securities Full timeA major financial services company in Mississauga is seeking an Auto Claims Advisor I. This role involves supporting customers through the claims process, ensuring they receive personalized advice and assistance during their time of need. Ideal candidates will have customer service experience, strong communication skills, and a willingness to learn. Growth...
-
Senior Accident Benefits Claims Advisor
4 days ago
Mississauga, Ontario, Canada Desjardins Full timeTemporary position for 12 months.We are seeking a highly skilled and empathetic Senior Accident Benefits Claims Advisor to join our Western Region team, supporting clients across Alberta. In this senior-level role, you will manage accident benefits claims of moderate to high complexity, with a strong focus on conflict resolution and stakeholder...
-
Auto Claims Advisor I
5 days ago
Mississauga, Canada TD Securities Full timeJoin to apply for the Auto Claims Advisor I role at TD Securities Work Location Mississauga, Ontario, Canada Hours 35 Line Of Business TD Insurance Pay Details $52,100 - $73,600 CAD TD is committed to providing fair and equitable compensation opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague...
-
Auto Claims Advisor I
7 days ago
Mississauga, Canada TD Securities Full timeJoin to apply for the Auto Claims Advisor I role at TD Securities Work Location Mississauga, Ontario, Canada Hours 35 Line Of Business TD Insurance Pay Details $52,100 - $73,600 CAD TD is committed to providing fair and equitable compensation opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague...
-
Accident Benefits Claims Advisor
7 hours ago
Mississauga, Ontario, Canada Desjardins Full timeIf you are passionate about helping people, we provide the technical training and insurance expertise to move your career forward. As an Accident Benefits Claims Advisor for Ontario, you focus on proactive, positive communications with clients to promote and facilitate their recovery for accident-related impairments. You will investigate, evaluate and...
Wsib Claims Management Advisor
3 weeks ago
WSIB Claims Management Advisor(Job Number: 25004380)
- Primary Location:ON-Mississauga
- Human Resources
- Employee Type:Full-Time- Description:
- Bayshore HealthCare is one of the Canada’s leading providers of home and community health care services and is a privately owned company. Bayshore HealthCare is proud to showcase its achievement as a Platinum member of Canada’s Best Managed Companies Program every year since 2006. Bayshore Healthcare is also recognized as Canada’s Best Employers in Forbes 2023 list.
Reporting directly to the WSIB Manager, the WSIB Claims Management Advisor will manage workers’ occupational and non-occupational injury or illness, and support stay at work and return to work processes for Ontario.
The role includes submitting initial claim documentation, coordinating with workers and their supervisors, and actively facilitating their safe and timely return to work through personalized return-to-work plans and ongoing communication with all parties involved.
The role will also be responsible for managing claim reports for legitimacy, possible challenges, trends analysis and cost control. This will include working with the WSIB Manager to assist them in their preparation of appeals and complex return to work scenarios and representing Bayshore up to the hearings and appeals tribunal when required.
**KEY RESPONSIBILITIES**:
**Claim Submission and Processing**:
- Receive and review worker’s occupational claim reports to determine eligibility for WSIB benefits.
- Accurately complete and submit all necessary occupational claim forms and documentation within established timelines.
- Gather medical reports, witness statements, and other relevant information to support claim submissions.
- Follow up on outstanding information to ensure timely claim processing.
**Return to Work Coordination**:
- Contact workers and supervisors upon receiving a new claim to discuss the return-to-work process.
- Develop individualized return-to-work plans in collaboration with the worker, employer, and healthcare providers.
- Based on the worker's functional abilities, identify potential workplace modified duties or accommodation needed for a safe return to work.
- Monitor the progress of the return-to-work plan and adjust as required.
**Communication and Stakeholder Management**:
- Maintain open communication with workers, supervisors, healthcare providers, and WSIB case managers throughout the claim process.
- Educate all parties involved on their rights and responsibilities regarding workers' claims.
- Provide training in Claims Management processes as required.
- Address concerns and resolve disputes through effective negotiation and mediation skills.
- Collaborate with the Health and Safety committees and ensure a follow-up with all external partners.
**Claim and Disability Case Management**:
- Maintain detailed case files, documenting all interactions/correspondence, medical updates, and return-to-work plan progress.
- Participate in case management meetings with the employer and WSIB and others as needed.
- Track claim status and identify potential issues that may impact the return-to-work timeline.
- Conduct regular reviews of active claims to ensure timely and appropriate claim management.
- Participate in claims appeals and complex return to work scenarios and representing Bayshore up to appeal hearings and tribunals.
- Perform other support related duties as required.
**LOCATION**
Primarily remote work within Ontario. Preferred locations include the GTA with the expectation to travel to branches within the area of service.
Qualifications:
- **EDUCATION**
- University Degree or College Diploma related to Disability Management, Occupational Therapy, Rehabilitation, Human Resources, Legal Studies
- Professional designation preferred such as, but not limited to: Certified Disability Management Professional (CDMP), Certified Return-to-Work Coordinator (CRTWC),
- Chartered Professional in Human Resources Human Resources Certificate, Disability Management Certificate/Diploma, Paralegal
**EXPERIENCE**
- Minimum of 5 years of experience in disability/claims management/occupational health & safety.
- Minimum of three (3) to five (5) years’ work experience in case managing WCB claims including workplace accommodations.
