06 Nov
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HR SOLUTIONS
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Niagara-on-the-Lake
06 Nov
HR SOLUTIONS
Niagara-on-the-Lake
The Manager, Disability & Risk Management provides leadership and subject-matter expertise for the organization’s occupational and non-occupational disability, workplace injury and claims management programs. The Manager is accountable for the effective management of complex claims, regulatory reporting, return-to-work and accommodation processes, appeals and hearing preparation, and the integrity of related data and reporting.
Working with employees, operational leaders, Human Resources, medical providers, insurers,
legal counsel and regulatory bodies, the Manager develops practical strategies that support fair,
timely and sustainable outcomes while managing organizational risk and ensuring compliance with applicable requirements.
Key Responsibilities
Provide strategic and operational leadership for occupational and non-occupational disability and claims management, establishing consistent practices, priorities, service standards and controls across the organization.
Manage complex, high-risk and disputed workplace injury and personal illness claims from initial review through resolution, including assessment of causation, entitlement, medical information, functional abilities, claim strategy and financial exposure.
Lead workplace accommodation and return-to-work planning in collaboration with employees, leaders, Human Resources, unions and medical or rehabilitation providers,
with a focus on safe, timely and sustainable outcomes.
Oversee investigations and evidence gathering related to workplace incidents and claims,
including witness interviews, medical and operational information, chronology development and preservation of complete and accurate claim records.
Lead the organization’s response to Workplace Safety and Insurance Board (WSIB)
matters, including claim submissions, correspondence, objections, appeals and reconsideration requests.
Prepare for and attend WSIB appeal proceedings and Workplace Safety and Insurance
Appeals Tribunal (WSIAT) hearings on behalf of the employer, including developing case strategy, reviewing the claim record, coordinating documentary and witness evidence,
preparing written submissions and working with legal counsel or external representatives as required.
Assess hearing and litigation risk,
be comfortable briefing others on material claims and appeals, and recommend settlement, appeal or case-management strategies within delegated authority.
Ensure all internal and external reporting is completed accurately and within applicable regulatory, policy and administrative requirements following workplace accidents, injuries and illnesses.
Maintain effective communication with employees, operational leaders, Human
Resources and other stakeholders regarding claim status, restrictions, return-to-work plans, risks, decisions and required actions.
Build productive working relationships with WSIB representatives, insurers, medical providers, legal counsel, industry associations and other external partners.
Lead the collection, quality assurance and analysis of incident, injury, disability and claims data; maintain accurate databases and prepare regular and ad hoc reports, dashboards and trend analysis for senior leadership.
Use claim, absence and incident trends to identify emerging risks and recommend preventive actions, process improvements, training or policy changes.
Participate in relevant industry committees and forums to monitor developments, share practices and support a consistent industry approach to injury prevention and compensatory claims.
Oversee claim-related financial administration, including invoices, employee expenses,
reserves, recovery opportunities and other cost-control activities, in partnership with
Finance and internal stakeholders.
Develop and maintain disability and claims management procedures, tools, templates and training materials, and provide guidance and coaching to leaders and Human Resources team members.
Lead or support projects and continuous improvement initiatives related to disability management, workplace injury claims, accommodations, data integrity and risk reduction.
Protect confidential and sensitive information and exercise sound judgement, discretion and diplomacy in all matters.
Skills, Abilities and Experience:
Post-secondary education in Human Resources, Disability Management, Occupational
Health, Health Sciences, Business, Law or a related discipline, or an equivalent combination of education and experience.
Extensive experience in disability and claims management, with demonstrated ability to lead complex matters, exercise independent judgement, influence outcomes and provide subject-matter guidance to stakeholders.
Demonstrated experience preparing employer submissions and evidence for WSIB objections or appeals and participating in WSIB or WSIAT proceedings; experience working with legal counsel and witnesses is an asset.
Strong knowledge of Ontario workplace safety and insurance legislation, policy and appeals processes, together with applicable human rights, accommodation, privacy and employment requirements.
Demonstrated ability to assess risk, analyze medical and factual evidence, develop defensible recommendations and communicate complex issues clearly to senior leaders and other stakeholders.
Experience leading programs, projects or process improvements and providing functional direction, coaching or guidance to others.
Excellent written and verbal communication, advocacy, negotiation and presentation skills.
Robust organization, planning and prioritization skills, with the ability to manage multiple complex matters, deadlines and competing priorities independently.
Advanced proficiency with Microsoft Office, including Excel, and experience using claims,
HR, case-management or reporting systems.
Ability to establish and maintain effective working relationships with employees, leaders,
unions, regulators, insurers, counsel, medical providers and other stakeholders.
High degree of confidentiality, professionalism, discretion and attention to detail.
Sound judgement and a balanced approach that considers employee needs, legal obligations, operational requirements and organizational risk.
Valid passport and driver’s license, with the ability to travel as required and no travel restrictions.
📌 Manager, Disability & Risk Management (Niagara-on-the-Lake)
🏢 HR SOLUTIONS
📍 Niagara-on-the-Lake