Adjudicator determining disability claim entitlements for WCB Alberta. Managing high-volume caseloads and supporting injured workers’ benefits and return to work.
Responsibilities
Maintain a high-volume caseload and make timely, well-informed claims decisions
Determine entitlement to medical and financial benefits
Identify claims requiring further services or case-manager support
Obtain medical opinions and coordinate or authorize medical treatment
Liaise with injured workers, employers, health-care providers, and representatives
Establish compensation rates and determine wage replacement, medical aid, and non-rate-based entitlements
Navigate conflict and lead challenging conversations using de-escalation and empathy
Communicate claim updates and decisions by phone, conference calls, and written correspondence
Build partnerships and collaborate to meet shared objectives
Deliver high-level customer service and educate and negotiate with clients
Manage client expectations
Maintain timely communication and documentation
Uphold the values, principles, and regulations of the Alberta Workers’ Compensation Act
Requirements
A degree or diploma in Social Sciences, Rehabilitation or Business is preferred
An equivalent combination of related education and relevant experience may be considered
Experience in caseload management, including making entitlement decisions, medical management of claims, health care experience, vocational rehabilitation experience or employment counseling experience are assets
Ability to create business relationships with partners and reach agreement on courses of action
Ability to work independently and prioritize workload
Quick learner with a strong record of personal achievements
Goal oriented with solid decision-making and planning skills
Reliability and excellent time management skills
Proficient computer knowledge and keyboard skills
Familiarity with medical or rehabilitative terminology is an asset
Ability to understand and apply policy while applying creative problem solving, critical thinking and flexibility in making fair and accurate decisions in a timely manner
Effective communication skills, including active listening, collaboration, and verbal and written communication
Must be available to attend twelve (12) weeks of training at the time of hire
Must work in-office as scheduled during hybrid training
Final successful candidates must undergo a security clearance
Must submit a cover letter and resume
Benefits
Competitive salaries
Comprehensive benefits package
Flexible work schedules
Hybrid work opportunities
Healthy work-life balance
Twelve (12) weeks of training
Skills assessments administered as part of the selection process
Security clearance for final successful candidates
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