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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.

Salary From: $71,720.18

Job Summary

As a member of a provincial team, review and critically analyze claims that have been approved for the payment, or adjustment of wage replacement and related benefits, leveraging knowledge of Legislation, Operational Policies and guidelines in order to determine, calculate and process the benefits in a timely and accurate manner. This includes contacting any Workplace Parties and Case Owners to request and/or clarify necessary earnings information.

Provide support to Case Owners as well as Workplace Parties in addressing or interpreting complex benefit decisions and their outcomes. Responsible to determine the appropriateness of a Long-Term Rate (LTR) recalculation of wage replacement benefits in accordance with Operational Policy, requesting and assessing earnings information from Workplace Parties, calculating rate of benefits, communicating decisions and reconsidering any related objections.

Major Duties And Responsibilities

• Validate the accuracy of benefit payment authorizations received from Case Owners and in cases determined by eAdjudication; take appropriate action including determining the earnings basis according to current and previous applicable legislation and operational policies before processing payments in various WSIB systems.
• Contact workplace parties to obtain and verify information including but not limited to: earnings information, lost time, modified duties, and document other employer questions/concerns raised and refer to decision makers to review.
• Ensures the claim is directed to the proper operations area and the necessary administrative activities are assigned depending on the appropriate RTW scenario.
• Identifying, investigating, analyzing, and cross referencing related documentation in the claim file to determine if the information is sufficient prior to processing the payment.
• Contacting the workplace parties (WPPs) and/or Case Owner to obtain or clarify required information regarding earnings or return to work information.
• Conferring with Case Owners to determine appropriate course of action with respect to payments.
• Consulting with the manager for complex payment problems.
• Determining cases that require a recalculation of wage replacement benefits to a long-term rate (LTR).
• Following up to identify and request the necessary earnings information in writing from the WPPs for the recalculation and implementation of the LTR.
• Reconsider LTR decisions and short-term rate calculations in response to receipt of additional earnings information or objections from WPPs.
• Calculating, communicating, prorating and ensuring funds are directed to appropriate payees.
• Calculate and process Pre-90 Pension / Supplements and NEL benefits.
• Complete LRI reconciliations and adjustments as requested.
• Creating payment transactions and adjustments and documenting required information for all entitlement authorizations.
• Work with management to review daily, weekly, monthly, quarterly and yearly system reports.
• Clarify missing or unclear direction from garnishment administrator.
• Cancel, place stop-payment, reissue of cheque/direct deposit that are returned, outstanding, purged, void.
• Updating the worker / payee profile.
• Promote the use of e-services and online services.
• May be required to engage with management on identifying gaps in training, process or policies.
• Provide specialized technical advice and assistance by providing knowledge and guidance for the application of payment matters.
• Responding to requests for information from Case Owners.
• Providing assistance, support, and mentoring when checking the accuracy of work for staff.
• Document payment histories, provide benefit/payment status, and provide detailed written explanations of adjustments and overpayments.
• Verify accuracy of payment histories transferred from previous systems.
• Making corrective adjustments to resolve case issues.
• Calculate and process interest owing on delayed payments.
• Maintain statistics on all aspects of work processed.
• Promote the values and principles of the WSIB during phone calls with WPPS.
• Performs other related duties as required or assigned.

Job Requirements

Education

• High school completion and certificate program of up to one year in accounting, bookkeeping, payroll, mathematics or finance.

Experience

• Total of four years and two months experience. One year prior experience in financial /mathematical concepts.

Our commitment to equity, diversity and inclusion

We respect and value the diversity of our people. We strive to create an environment where employees can be themselves and where our differences are celebrated.

The WSIB is committed to being accessible and inclusive, and following barrier-free and accessible employment practices in compliance with the Accessibility for Ontarians with Disabilities Act (AODA).

Disclosing conflicts of interest

As public servants, employees at the WSIB have a responsibility to act in an ethical way at all times to create a respectful workplace and maintain public trust.

Privacy information

We collect personal information from your resume, application, cover letter and references under the authority of the Workplace Safety and Insurance Act, 1997.

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