Officer, Workers Compensation Claims

Canadian National Railway Company•Vaughan, ON

1d•Remote

About The Position

The Officer, Workers Compensation Claims is responsible for acting as a point of contact for all stakeholders in establishing new disability claims, providing status updates and responding to inquiries. As the front line for all Return to Work programs at CN, the incumbent assists the Manager, Workers Compensation in assessing barriers to successful and timely return to work. The role applies sound judgement and accuracy in the setup of disability claims and in the communication of information to all stakeholders involved in employee claims.

Requirements

Between 3 to 5 years of hands on experience in disability management and insurance
Previous experience in workplace accommodation and claim resolution
Employment at a provincial workers compensation board
Bachelor’s Degree in a related Healthcare Field, Social Science, Business, Human Resources or comparable work experience
Proficiency in Microsoft Office
Knowledge of disability management tools
General knowledge of the railway industry
General knowledge of Federally regulated employers
Strong knowledge of applicable provincial Workers Compensation legislations, policies and business procedures
Knowledge of Canadian and Provincial Human Rights laws
Knowledge of ergonomic principles
Fluently bilingual both written and verbal (English, French)

Nice To Haves

Any experience for these above would be considered as an asset
National Institute of Disability Management and Research Certification
Any designation for these above would be considered as an asset
Any skills/attributes for these above would be considered as an asset
Any knowledge for any of the above would be considered as an asset

Responsibilities

Review all new claims and enter all available data into Systems, Applications and Products (SAP) within 24 hours of receiving notification of an injury
Review, investigate, and gather additional information to validate each new injury claim and report it to the provincial WCB
Communicate with employees and managers on a regular basis to assist in the claims process, monitor treatment plans, and determine Return to Work opportunities
Review medical documentation throughout the life of each file to validate that diagnosis continues to relate to original injury
Liaise with provincial WCB in Return to Work planning and claims requiring secondary reviews, appeals and medical arbitration
Initiate and represent CN in secondary reviews, appeals and medical arbitration within legislative deadlines at Provincial Tribunals and Appeal Commissions
Maintain claim files for all employees including claim details, statuses, action plans and Return to Work progress
Research related WCB policies and legislation to ensure appropriate benefits are being paid to employees
Initiate review of, manage and resolve long-standing disability claims where employee is totally and permanently disabled, and all opportunities for accommodation have been exhausted
Gather medical restriction profiles for employees from insurers, occupational health services and physicians
Work with regional stakeholders in finding suitable accommodations
Document data into SAP for all non-occupational claims
Coordinate Return to Work and monitor employee progress while on accommodated duties
Manage financial portfolio of between $5M - $10M
Ensure efficient account management
Review invoices and validate all costs
Represent CN as a member of each respective Regional Employer Group