Operations Manager- Workers' Comp

SedgwickCAN-Telecommute-ON, ON
CA$90,000 - CA$115,000

About The Position

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Operations Manager- Workers' Comp PRIMARY PURPOSE: To manage the technical and operational functions within assigned Workers Compensation Team. Ensuring compliance with company standards and industry best practices; and to ensure consistent delivery of quality service.

Requirements

  • Deep knowledge of Canadian Workers’ Compensation systems and legislation.
  • Understanding of disability management and return-to-work practices.
  • Financial acumen (reserving, cost analysis, experience rating models).
  • Strong people leadership and development skills
  • Ability to lead through change and transformation
  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.
  • 5–10+ years in Workers’ Compensation or disability claims management
  • Experience in Canadian WC systems (e.g., WSIB, WCBs, WorkSafeBC)
  • 2–5+ years in leadership or supervisory role
  • Strong knowledge of: Provincial WC legislation
  • Claims adjudication and appeals processes
  • Return-to-work programs
  • Experience with claims management systems and reporting tools
  • Data analysis and performance reporting skills
  • Strong leadership and people management capabilities
  • Excellent communication and stakeholder management skills
  • Problem-solving and decision-making under pressure
  • Attention to detail and risk awareness
  • Change management and adaptability

Responsibilities

  • Lead daily operations of Workers Compensation Claims Team
  • Ensure timely adjudication, case management and resolution of claims
  • Monitor claim lifecycle performance from intake to closure
  • Manage team inventory, workload distribution and productivity standards
  • Ensure compliance with all Provincial Workers Compensation Boards across Canada
  • Remain current on legislative and policy changes
  • Oversee claim costs
  • Drive cost containment programs
  • Analyze trends impacting employer premiums
  • Act as point of contact for stakeholders
  • Present operational performance KPIS and cost improvement strategies
  • Manage escalations and complex cases with stakeholders
  • Establish and manage service level agreements
  • Track KPIs
  • Lead, coach and mentor claims managers, adjusters and support
  • Build high-performing teams with strong technical expertise
  • Drive training on legislation, claims handling and systems
  • Oversee hiring, performance management and succession planning
  • Identify opportunities for operational efficiency (automation and workflow)
  • Standardize best practices
  • Leverage data analytics to improve outcomes

Benefits

  • caring culture
  • work-life balance
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