Talent Pool – Case Manager

Our people have different ways of working and lifestyles. We’re committed to a mix of working in the office, in the field and from home. You have some flexibility in terms of where and how work gets done to help you balance your personal life and career goals.

About the Workplace Safety and Insurance Board (WSIB)

We’re here to help. When an injury or illness happens on the job, we move quickly to provide wage-loss benefits, medical coverage and support to help people get back to work. Funded by businesses, we also provide no-fault collective liability insurance and access to industry-specific health and safety information. We are one of the largest insurance organizations in North America covering over five million people in more than 300,000 workplaces across Ontario. For more information, visit wsib.ca.

At the WSIB, you’ll have the opportunity to:

• explore many career paths and follow your passion
• continuously learn and grow professionally
• be recognized for the great work you do
• participate in programs that support your health and wellbeing

You’ll also receive a competitive salary, along with a comprehensive benefit package and defined benefit pension plan.

Bilingual designated roles – You may be eligible to receive a language bonus payment.

Starting salary: $94,583.02

We anticipate bilingual (French & English) and unilingual permanent opportunities in the following office locations:

• Guelph – Unilingual
• Guelph – Bilingual
• Hamilton – Unilingual
• Hamilton- Bilingual
• Kingston – Unilingual
• Kingston – Bilingual
• London – Unilingual
• London – Bilingual
• North Bay – Unilingual
• North Bay – Bilingual
• Ottawa – Unilingual
• Ottawa – Bilingual
• Sault Ste. Marie – Unilingual
• Sault Ste. Marie – Bilingual
• St. Catharines – Unilingual
• St. Catharines – Bilingual
• Sudbury – Unilingual
• Sudbury – Bilingual
• Thunder Bay – Unilingual
• Thunder Bay – Bilingual
• Timmins – Unilingual
• Timmins – Bilingual
• Toronto – Unilingual
• Toronto – Bilingual
• Waterloo- Unilingual
• Waterloo – Bilingual
• Windsor – Unilingual
• Windsor – Bilingual

OPS Commitment to Diversity, Inclusion, Accessibility, and Anti-Racism:

We are committed to build a workforce that reflects the communities we serve and to promote a diverse, anti-racist, inclusive, accessible, merit-based, respectful and equitable workplace.

We invite all interested individuals to apply and encourage applications from people with disabilities, Indigenous, Black, and racialized individuals, as well as people from a diversity of ethnic and cultural origins, sexual orientations, gender identities and expressions.

Visit the OPS Anti-Racism Policy and the OPS Diversity and Inclusion Blueprint pages to learn more about the OPS commitment to advance racial equity, accessibility, diversity, and inclusion in the public service.

We offer employment accommodation across the recruitment process and all aspects of employment consistent with the requirements of Ontario’s Human Rights Code. Refer to the “How to apply” section if you require a disability-related accommodation.

What can I expect to do in this role?

Job Summary:

Responsible for the entitlement decision and overall management of claims through the development, implementation, communication and monitoring of comprehensive and integrated case management plans for all case activities.

Case Managers use a proactive case management approach to make and communicate decisions on benefits and services in a timely fashion that are consistent with relevant WSIB policy. Address worker and employer needs by actively listening, collecting, and providing relevant information, and helping the workplace parties understand their rights, responsibilities, and obligations.

Case Managers may be assigned to cases in the early phase of the case lifecycle or the later phase of the case lifecycle (including pre-1990 claims). Case Managers follow a structured case management framework, to enable them to achieve high quality entitlement decisions, return-to-work and recovery outcomes, and success with case planning and implementation.

How do I qualify?

Major Duties and Responsibilities:

1. Make entitlement decisions based upon legislation, policy, and best practices and communicate these decisions verbally and in writing to applicable parties by:

• Proactively collecting information from workplace parties and healthcare providers required for eligibility decisions and responding to inquiries;
• Providing education on WSIB benefits, policies, and processes while informing parties of their rights and obligations under the Act, and of the consequences of non-compliance;
• Ensure appropriate earnings information is on file to determine the appropriate duration and level of benefits;
• Monitoring employer and worker compliance;
• Determining if a breach of obligations has occurred, levying penalties and fines, and adjusting benefits as appropriate; referring to and /or working collaboratively with internal resources for appropriate action, when required.

2. Develop, implement, and monitor comprehensive and integrated case management plans for all activity in the case required to achieve recovery, community integration, and where possible, return to work (RTW) by:

• Collecting information to progress the case; assessing and positioning each case along its appropriate recovery path; setting goals and making decisions based on legislation, policy, and best practices;
• Planning activities in collaboration with workplace parties and team members; participating in case conferences and team meetings with the service delivery team and management, and providing consultative advice (mentoring) to team members;
• Coordinating and taking action on planned activities; reviewing and monitoring new information as received; closing plan activities when active case management is no longer required; following up and evaluating close cases to ensure case management plan continues to be effective.

3. Provide targeted activities focused on identifying RTW factors, removing obstacles, and leveraging opportunities to facilitate a safe return to suitable work by:

• Coordinating and facilitating RTW cooperation between the workplace parties;
• Supporting workplace parties in their return-to-work efforts by sharing any available information about the workers’ capabilities and/or precautions;
• Arranging, assessing, and adjusting the delivery of return-to-work assessments and plans where needed;
• Promoting prevention, disability management, RTW, and related programs to workplace parties; sharing best practices; connecting workplace parties with expert resources when they would benefit from increased capability to prevent and/or manage injuries and illness;
• Keeping clients and employers informed of the status and progress of the case, ensuring they are fully engaged in removing barriers to, and planning RTW.

4. Identify and co-ordinate intervention by internal and external specialty resources and ensure timely and appropriate completion of these interventions and services by:

• Referring requests for health care entitlement to the appropriate resource and liaising as required;
• Referring requests for equipment, personal care allowance, home/vehicle modifications, and hobbies to Health Services and liaising as required.

5. Attempt to prevent or resolve disputes. Handle requests for reconsideration and, if appealed, arrange access, and process the objection.

6. Utilize knowledge of the case management framework and understanding of the application of WSIB policies and WSIB Acts to conduct case and telephone quality reviews.

7. Perform other related duties as assigned or required.

Job Requirements:

Education

• University completion at undergraduate level.

Experience

• Two years prior experience in Adjudication or Case Management and Customer Service.

o Adjudication is a process of decision making, gathering and weighing information against guidelines, policy and laws to arrive at an objective outcome.

o Case management is a process of assessment, planning, facilitation, and advocacy for options and services to meet an individual’s needs to promote optimal outcomes. Key activities include collecting information, making decisions, coordination and actioning activities; reviewing, monitoring, guiding and directing cases towards resolution.

This position is currently eligible for an education equivalency. Additional years of experience will be considered in place of levels of education on a 2:1 basis. For every level of education not completed, an additional 2 years of experience will be considered as equivalent, in addition to the minimum prior years of experience as set out in the job requirements. Management has set a minimum threshold for education equivalency at the College diploma program of over two years and up to three-year level.

Education Levels

College diploma program of over two years and up to three years plus 4 years of experience

There are no equivalencies for established professional certifications and/or designations.

Additional Information:

As a precondition of employment, the WSIB requires that prospective candidates undergo a criminal records name check any time before or after they are hired.

Application Instructions:

To apply for this position, please submit your application by the closing date.

Additional Information:

Address:

• 1 English Permanent, 200 Front St W, Toronto, Toronto Region

Compensation Group:

Excluded

Understanding the job ad – definitions

Schedule:

N/A

Category:

Customer and Client Services

Posted on:

Thursday, June 20, 2024

Note:

• This posting is for an organization that is not a part of the Ontario Public Service. The information and tips on the Ontario Public Service Careers website may not apply to this posting. Please use the contact information below to contact the organization directly if you have questions.

How to apply:

1. You must submit your application using only one of the methods identified below.
2. Your cover letter and resume combined should not exceed five (5) pages. For tips and tools on how to write a concise cover letter and resume, review the Writing a Cover Letter and Resume: Tips, Tools and Resources.
3. Customize your cover letter and resume to the qualifications listed on the job ad. Using concrete examples, you must show how you demonstrated the requirements for this job. We rely on the information you provide to us.
4. Be sure to quote the Job ID number for this position.
5. OPS employees are required to quote their WIN EMPLOYEE ID number when applying.

Send application to: 

Please submit your application on the WSIB career portal: https://www.wsib.ca/en/careers

Collection of Information

Your personal information is being collected and will be used to determine your qualifications for employment with the Ontario Public Service, and for recruitment modernization initiatives. OPS Careers is an authorized common service in accordance with s. 6 of the Ministry of Government Services Act, R.S.O. 1990, c. M.25 and this collection of personal information is necessary to the proper administration of OPS Careers.

Please do not provide more personal information than what is asked of you. For example, do not include your social insurance number, photograph, or banking information, etc. with your application. We strongly encourage you not to provide us with information beyond that which is requested in the job posting.

If you have any questions about the collection, use, disclosure, or retention of your personal information, please contact us.

All external applicants (including former employees of the Ontario Public Service) applying to a competition in a ministry or Commission public body must disclose (either in the cover letter or resume) previous employment with the Ontario Public Service. Disclosure must include positions held, dates of employment and any active restrictions as applicable from being rehired by the Ontario Public Service. Active restrictions can include time and/or ministry-specific restrictions currently in force, and may preclude a former employee from being offered a position with the Ontario Public Service for a specific time period (e.g. one year), or from being offered a position with a specific ministry (either for a pre-determined time period or indefinitely). The circumstances around an employee’s exit will be considered prior to an offer of employment.

Remember: The deadline to apply is Tuesday, August 13, 2024 11:59 pm EDT. Late applications will not be accepted.

We thank you for your interest. Only those selected for further screening or an interview will be contacted.

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