APPEAL SERVICES OFFICER

The Workplace Safety and Insurance Appeals Tribunal • Toronto, ON

7d • Onsite

About The Position

The Workplace Safety and Insurance Appeals Tribunal (WSIAT) is a highly specialized adjudicative tribunal that hears appeals of final decisions of the Workplace Safety and Insurance Board (WSIB). We are looking for a motivated professional for the position of Appeal Services Officer, to work with a team of staff involved in case appeals to process and close cases.

Requirements

• Knowledge and understanding of the Workplace Safety and Insurance Act, 1997, prior and related legislation, or the ability to acquire this knowledge to assess case files
• Working knowledge of the Freedom of Information and Protection of Privacy Act and of privacy related issues to recognize information disclosed in error and deal with sensitive or prejudicial material
• General knowledge of relevant legal and medical terminology to assess injury codes and related claims
• Advanced oral and written communication in English.
• Excellent interpersonal and communication skills to explain detailed appeal processes
• Excellent written communication skills to produce letters and documents with accuracy and completeness
• Demonstrated discretion, tact and diplomacy to deal with parties who may be frustrated or difficult
• Knowledge of software applications including word processing programs and typing skills in order to prepare various documents and case materials
• Knowledge of computerized tracking/database systems in order to input, manipulate and search data
• Excellent organizational skills to determine priorities and respond to deadlines within tight production standards while balancing competing demands
• Ability to multitask in order to manage a large caseload
• Excellent research and analytical skills to verify information, investigate and report on case status
• Excellent attention to detail in order to accurately record data

Responsibilities

• Conducting an initial review of case documentation and preparing the appeal for further review/processing by reviewing appeal forms, confirming appropriate releases have been signed, addressing any deficiencies in forms, requesting information and files from the WSIB, and preparing case documents
• Actively processing, monitoring and updating case files by entering new data into a case management system, communicating with parties by telephone, assisting self-represented workers with the appeal process, composing and sending correspondence, reviewing incoming correspondence, requesting missing or required information, and identifying privacy or reporting breaches
• Processing appeals that have become dormant/inactive by examining what transpired, assessing the problem or issues with the case, determining what action needs to be performed to get the file “hearing ready”, or closing the appeal as appropriate
• Maintaining a pool of case files that have been approved “hearing ready” by reviewing correspondence or WSIB claim files, ordering missing portions of files and/or better copies of documents from the WSIB, preparing case records and case materials, ensuring appropriate disclosure of new information to parties and communicating with other departments as needed
• Closing appeals that have been abandoned or where the WSIAT has no jurisdiction by creating and sending letters to appellants advising them of deadlines, responding to queries from parties, drafting Notices of Intent to Close, and referring the case file to appropriate staff for closing when appropriate

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed