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You will be updated with latest job alerts via email$ 40000 - 45000
1 Vacancy
Receive and action claim files when a factor arises that may delay RTW or add costs to the claims that are not the responsibility of the employer
To initiate requests for WCB/WSIB Nurse Advisor/Medical Advisor intervention on RTW efforts as appropriate
To liaise with all parties accordingly to facilitate a RTW when a worker is not cooperating with TeksMed
Take incoming phone calls from interested parties to either provide information or collect information for those parties
Coordinate with Abilities Coordinator to outline the next plan of action for claim files
Seek advice and direction on complex contentious claims from the Team Leader
Assess the costs attached to each claim to best meet the needs of the client
Prepare and compile information to be presented to WCB/WSIB/Legal Provider on entitlement issues i.e. Modified Duties refusal
Take the necessary action to ensure that entitlement issues are appealed to the appropriate appeal body as required and within required timeframes
Manage new and contentious claims until all contentious issues have been resolved.
Complete a forensic review of high cost claims for new clients and take necessary action in order to facilitate cost recovery
To participate in Return to Work Meetings between our clients and WCB/WSIB as required
To initiate requests for cost relief on our clients behalf and take the appropriate action
Field inbound and outbound calls to clients injured workers physicians or other parties to gather information to assist in ensuring a safe Return-to-Work (RTW)
Communicate in a consistent and timely manner with the employer and worker
Arrange and schedule medical assessments diagnostics and surgeries as required for WCB/WSIB and STD under the support of the treating physician
Ensure all documents such as RTW plans and medical assessments are collected assessed and actioned
Continually confirm status of worker to ensure the RTW is successful
Make decisions on the next course of action by analyzing medical assessments and client/worker information gathered
Coordinate with co-workers to ensure accurate and imperative information is reviewed requested and collected for each claim
Inform client (by phone when possible) of outcomes and updates
Prepare scheduled reports for our clients to provide them with an update on the work being undertaken on their behalf
Participate in client visits and conference calls as required
Document successful claims outcomes and generate Quikfacts as appropriate
Provide assistance and input to Client Care as required on the performance or any issues regarding clients accounts
Manage customized software database notes on case files by ensuring accuracy and inclusiveness
Maintain database by updating information and closing case files once all claims have been addressed and advise all the appropriate parties involved
Comprehension of contentious claims and internal policies procedures and requirements of WCB/WSIB
Understanding of formal business writing and compilation of documentation
Understanding of medical terminology
Proven time management prioritization and attention to detail skills
Demonstrated ability to communicate actively and comfortably in using negotiation dispute resolution and problem sensitivity techniques
Comfortable working independently and making decisions with confidence
Abilities to conducting research on the internet for medical terminology medical assessment results and/or for determining probable medical requirements
Strong analytical Abilities
Has completed at least 5 NIDMAR courses towards certification
Completion of any remaining NIDMAR courses for certification within 12 months of taking RTWC role
Successful passing grade on NIDMAR certification exam within 12 months of taking RTWC role (or as soon as eligible)
Maintain certification for term of role
Learn by working alongside our experts
Extended health care and dental benefits
A retirement savings plan with company contributions
A suite of Health & Wellness offerings
Mental Health programs and support for you and your family
Assistance for the completion of industry designations
Competitive compensation
TeksMed is Canadas leading disability management and occupational injury claims management firm. We help employers reduce costs and improve outcomes by proactively managing employee absences workers compensation claims and return-to-work processes.
Providing an inclusive accessible environment where all employees and clients feel valued respected and supported is something were committed to. We are dedicated to building a workforce that reflects the diversity of the communities in which we live and to creating an environment where every employeehas the opportunity toreach their potential. If you require an accommodation or an alternative format of any posting please reach out to.
The base salary range for this position is $per annum. Details of the total compensation package will be shared during the interview process.
Required Experience:
IC
Full-Time