Claims Specialist (St. Catharines)

Claims Specialist (St. Catharines)

02 Sep
|
HR SOLUTIONS
|
St. Catharines

02 Sep

HR SOLUTIONS

St. Catharines

The Coordinator/Specialist, Disability & Risk Management is responsible for occupational and non-occupational claims within organizational standards and industry best practices.

Key Responsibilities:

- Manages all facets of claim evaluation for assigned claims, particularly with respect to cause and effect and relating the injury to the accident. This includes the interviewing of witnesses and obtaining information from the relevant medical personnel.

- Manages assigned personal illness claims for non-salaried employees.

- Ensures that all required documentation is properly completed and necessary supporting documentation, witness statements, medical records etc., are made available and maintained on file.

- Monitors the recovery progress of claimants with the purpose of ensuring the employee receives appropriate medical care and is working towards an early and successful return to work.

- Participates in relevant industry committees to ensure a unified industry approach to the prevention of personal injury accidents and the handling of compensatory claims.

- Collects data and maintains incident/accident/personal injury database and any reports that need to be generated on a regular or periodic basis.

- Ensures external and internal reporting is completed as per regulatory and/or administrative guidelines when workplace accidents occur.

- Inputs all claims including correspondence with the Workplace Safety and Insurance Board and assists with the preparation of appeals, at times representing the employer.





- Maintains communication with other departments with regards to a claim’s status on an as needed basis.

- Assists in preparing invoices relating to claims, including employee expenses.

- Prepares statistical reports and maintain injury databases.

Skills, Abilities and Experience:

- Post-secondary education or equivalent with a concentration in Human Resources or Disability Management.

- Candidates should possess a minimum of 2 years of relevant experience.

- Knowledge of disability legislation and regulations including the Duty to Accommodate, the Employment Equity Act, Workers Compensation Act and Human Rights Legislation in disability management planning.

- Proficient with Microsoft Office, including a high proficiency in Excel.

- Effective communication skills (verbal and written).

- Excellent organization, planning and prioritization skills.

- Able to work independently with minimal supervision.

- Able to create and maintain effective working relationships with stakeholders.

- Confidentiality, discretion and diplomacy on all business matters.

- Excellent attention to detail and accuracy.

- Self-motivated, able to work in a team workplace and balance the needs of several individuals and the team.

- Capable of identifying and resolving problems in a timely manner.

- Ability to manage sensitive issues with professionalism and discretion.

- Sound judgement, ability to balance business needs with the role of the employee advocate.

- Valid passport and driver’s license.

- No travel restrictions.

📌 Claims Specialist (St. Catharines)
🏢 HR SOLUTIONS
📍 St. Catharines

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