An exciting opportunity exists at the Mainroad Group for a Disability Claims/Injury Management Coordinator! 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:
- Maintaining the highest level of confidentiality, tact, diplomacy, and professionalism is a fundamental requirement of this position.
- Minimum 2 years of related experience in injury management. Work experience in a multi-union work environment is an asset.
- Strong knowledge of the concepts, theories, practices and techniques of injury management (Stay at Work (SAW) / Return to Work (RTW)) 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 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 are required.
- 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.
Key Behavioral Competencies:
1. Integrity and Ethically Driven – Is looked upon by others as the moral compass for Mainroad. Acts and behaves in line with the company’s core values. Builds and maintains trust amongst all employees. Always “does the right thing” in the face of adversity, confidentiality and conflict.
2. Dealing with Ambiguity – Can effectively cope with change; can shift gears comfortably; can decide and act without having the total picture; isn’t upset when things are “up in the air”; doesn’t have to finish things before moving on; can comfortably handle risk and uncertainty.
3. Priority Setting – Spends his/her time and the time of others on what is important; quickly zeroes in on the “critical few” and puts the “trivial many” aside; can quickly sense what will help or hinder accomplishing a goal; eliminates roadblocks; creates focus.
4. Interpersonal Savvy – Relates well to all kinds of people – up, down, and sideways, inside and outside the organization; builds appropriate rapport; builds constructive and effective relationships; uses diplomacy and tact; can defuse even high-tension situations comfortably.
5. Decision Quality – Makes good decisions (without considering how much time it takes) based upon a mixture of analysis, wisdom, experience, and judgment; most of his/her solutions and suggestions turn out to be correct and accurate when judged over time; sought out by others for advice and solutions.
Job duties include, but are not limited to:
A. Claims Administration
- Receives and reviews injury claims, ensuring all required information and documentation are complete and accurate. This may include medical records, employment history, and other relevant paperwork.
- Documents injury claim data into relevant systems, ensuring accuracy and compliance with regulatory requirements. Coordinates with internal departments to expedite the processing of claims and resolve any issues or discrepancies that may arise.
B. Claims Management
- Evaluates injury claim information to determine eligibility and validity of claims. Collaborates with medical professionals and other experts to gather additional information and evidence as required.
- Oversees injury case management by coordinating of activities throughout the claim’s lifecycle (WorkSafeBC (WSBC), Workers’ Compensation Board–Alberta (WCB-AB)).
- Establishes and maintains familiarity with each injury claim, 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.
C. Communication Liaison
- Serves as the primary point of contact for the injured party, providing assistance and guidance throughout the claims process.
- Follows up with the injured party on a continual basis to ensure that SAW / RTW programs are being effectively implemented until the worker return to full duties.
- Coordinates with the Safety Department and Operational personnel to ensure that the SAW / RTW programs are fully understood and implemented on the work site.
- 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 injury case management.
- Provides monitoring of claims activities and communicates with relevant internal and external stakeholders, as appropriate.
Interested applicants should forward their resume and cover letter to hr@mainroad.ca. Please note only short-listed qualified candidates will be contacted.
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.