An exciting opportunity exists at the Mainroad Group for a Disability Claims/Injury Management Specialist! This is a full-time (office-based) position based at Mainroad’s Corporate office in Cloverdale and will report directly to the Director of Health, Safety, Quality and Environmental.
The successful candidate shall have the following key qualities:
- Minimum 3 years of related experience in disability claims management, including 1 year in a unionized environment.
- Basic knowledge of the concepts, theories, practices and techniques of disability management, including case management, attendance awareness and return to work programs.
- Excellent interpersonal, verbal and written communication skills, in order to provide clear explanations of policy, procedure, and other factual information.
- Strong organizational and multitasking skills in order to meet deadlines, handle changing priorities and ensure prompt responses and service excellence.
- Strong aptitude for detailed and precise work. Exceptional record-keeping, combined with strong memory skills with the ability to recollect key historical facts/information and past practices.
- Computer skills – Strong knowledge of Microsoft Word, Excel, Teams and Outlook is a must. Must be tech savvy!
- Effective communication skills, both written and oral, including tactful and diplomatic interpersonal skills.
- Strong learning agility and willingness to experience (and apply) new claims management and return-to-work concepts, practices, and processes.
- Excellent time management skills, well organized, and able to work independently as well as part of a team.
- Ability to deliver results, on-time and accurately.
- Possesses a positive outlook, willing to learn, be a team player, and not afraid to ask questions.
- Maintaining the highest level of confidentiality, tact, diplomacy, and professionalism is a fundamental requirement of this position.
Job duties include, but are not limited to the following:
Claims Administration
- Receives and reviews disability claims, ensuring all required information and documentation are complete and accurate. This may include medical records, employment history, and other relevant paperwork.
- Enters claim data into relevant systems, ensuring accuracy and compliance with regulatory requirements. Coordinate with internal departments to expedite the processing of claims and resolve any issues or discrepancies that may arise.
- Ensures all appropriate payroll changes are processed for occupational disability claims while employees are on WSBC/WCB-AB and/or return-to-work programs.
Claims Management
- Evaluates claim information to determine eligibility and assess the validity of disability claims. Collaborate with medical professionals and other experts to gather additional information and evidence as needed.
- Supports disability case management by providing coordination of activities throughout the lifecycle, WorkSafeBC (WSBC), Workers’ Compensation Board–Alberta (WCB-AB) claims from submission to conclusion.
- Establishes and maintains familiarity with each disability case, establishing priorities and flagging items requiring immediate attention. Ensure union collective agreements and group benefits contract terms are applied and appropriate follow-up and/or actions are taken. Consults with HR Business Partners on claims with special circumstances.
Communication Liaison
- Serves as the primary point of contact for claimants, providing assistance and guidance throughout the claims process.
- Handles inquiries from WSBC/WCB-AB, insurance carriers, third-party lawyers, and other external parties related to employees’ disability cases.
- Liaises with WSBC/WCB-AB, supervisors and attendance keepers on an ongoing basis on the administration and tracking of disability case management.
- Provides monitoring of claims activities and communicates with relevant internal and external stakeholders, as appropriate.
If you are excited to be a part of our dynamic and expanding team, we invite you to apply by submitting your resume via this advertisement, or online at www.mainroad.ca/careers. Please note, only qualified shortlisted candidates will be contacted.
The salary for this position will be determined based on a comprehensive evaluation of the candidate’s skills, experience, and qualifications, ensuring a fair and competitive compensation package that reflects their unique contributions and expertise.
Mainroad Group is an equal opportunity employer that values diversity and inclusion in our workplace. We welcome and respect people of all backgrounds, identities, and perspectives. We are committed to creating a fair and equitable work environment where everyone can thrive and succeed.