30 Oct
|
Alight Solutions
|
Canada
30 Oct
Alight Solutions
Canada
Our Story
At Alight, we believe a company’s success starts with its people. Alight embraces values that come directly from our people – purposeful, human, united and growth-minded – reflecting our inclusive culture and promise that our clients expect. We are passionate about connecting purpose with impact. Alight empowers clients to build a healthier and more financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, navigation, and absence management.
Our Benefits
With a comprehensive total rewards package, Alight offers programs and plans that support your mind, body, wallet, and life. Perks include health, dental and vision coverages starting Day One. Additionally, Alight colleagues enjoy wellbeing programs, retirement plans with contribution matching, generous time off, parental leave, continuing education, and career growth opportunities – all within a thriving global organization.
Flexible Working
So that you can be your best at work and home, we consider flexible working arrangements wherever possible. Alight has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 6 years in a row.
Great Place to Work
Thanks to the work of every colleague, Alight has received multiple awards of recognition including “Great Place to Work” for the past 7 years and Fortune’s “Best Companies to Work For.” To learn more about our company culture and awards Click Here.
We invite you to join our team Learn more at careers.alight.com.
About the Role
The Senior Workers’ Compensation Case Manager is responsible for managing complex and long-duration workers’ compensation claims, with a focus on achieving timely,
sustainable return-to-work outcomes while minimizing time loss and claim costs. This role serves as a subject matter expert in provincial workers’ compensation legislation, policies, procedures, and Workers’ Compensation Board (WCB) practices. The Senior Case Manager assesses barriers to successful return to work, critically analyzes WCB decisions, and partners with clients, injured workers, WCB representatives, healthcare providers, and other stakeholders to develop and implement appropriate case management, rehabilitation, and return-to-work strategies.
Responsibilities
- Managing complex, long-term and workplace injury claims, ensuring a clear path toward rehabilitation, reintegration, return to work, or an appropriate alternative plan.
- Assessing medical, functional, workplace, and other barriers that may impact a successful and timely return to work and develop strategies to address identified barriers.
- Developing, implementing, coordinating, and monitoring return-to-work and rehabilitation strategies in collaboration with clients, injured workers, WCBs, healthcare providers, and other stakeholders.
- Liaising directly with provincial WCBs regarding claim management, adjudication, return-to-work planning, and claim resolution.
- Interpreting and applying provincial workers’ compensation legislation, policies, procedures,
and practices to effectively manage claims and proactively pursue resolution or closure.
- Conducting critical reviews of WCB decisions to assess alignment with applicable legislation, policies, and procedures. Identifying potential appeal or objection issues, draft letters of objection, and support or pursue appropriate appeal strategies.
- Identifying and pursuing cost mitigation opportunities, including cost relief and other applicable strategies. Providing earnings information and other claim-related documentation when required.
- Facilitating appropriate third-party interventions, including Functional Capacity Evaluations (FCEs), Independent Medical Evaluations (IMEs), and other rehabilitation or medical assessments.
- Proactively pursuing claim progression and closure while balancing appropriate care, successful return-to-work outcomes, legislative requirements, and client objectives.
Requirements
- Ontario Paralegal or Lawyer license required.
- Minimum of 5 years of experience in workers’ compensation claims management, including experience managing complex and/or long-duration claims.
- Be a subject matter expertise across Provincial Workers’ Compensation Boards, including applicable workers’ compensation statutes, legislation, policies, procedures, and practices.
- Demonstrate experience with return-to-work planning, rehabilitation strategies, claims resolution, and cost mitigation.
- Have knowledge of workplace health and safety practices and workers’ compensation experience-rating principles.
- Demonstrate analytical and critical-thinking skills, including the ability to evaluate WCB decisions and identify potential appeal, objection, or cost-relief opportunities.
- Have excellent written an
📌 Senior Workers Compensation Case Manager (Canada)
🏢 Alight Solutions
📍 Canada