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Senior Workers Compensation Case Manager
Alight Solutions. Manage complex, long-term, and workplace injury workers’ compensation claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing complex workers’ compensation claims, including rehabilitation strategies and return-to-work planning, while ensuring compliance with provincial legislation and policies. Strong analytical skills are essential for evaluating WCB decisions and pursuing cost mitigation opportunities.
Highest-signal resume keywords
Workers’ Compensation Claims ManagementReturn-To-Work PlanningProvincial Workers’ Compensation LegislationAnalytical SkillsExcellent Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ResolutionCost MitigationRehabilitation StrategiesWCB Decision ReviewObjection Drafting
Soft Skills
Critical ThinkingTime ManagementCollaboration
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft Outlook
Certifications & Qualifications
Ontario Paralegal LicenseLawyer License
Industry Keywords
Workplace InjuryReturn-To-Work BarriersWorkplace Health and SafetyExperience-Rating Principles
About the role
Key responsibilities & impact- Manage complex, long-term, and workplace injury workers’ compensation claims
- Establish clear paths toward rehabilitation, reintegration, return to work, or appropriate alternative plans
- Assess medical, functional, workplace, and other return-to-work barriers
- Develop, implement, coordinate, and monitor return-to-work and rehabilitation strategies
- Liaise with provincial WCBs on claim management, adjudication, return-to-work planning, and claim resolution
- Interpret and apply provincial workers’ compensation legislation, policies, procedures, and practices
- Critically review WCB decisions and identify appeal or objection issues
- Draft letters of objection and support or pursue appeal strategies
- Identify and pursue cost mitigation opportunities, including cost relief
- Provide earnings information and other claim-related documentation
- Facilitate third-party interventions, including FCEs, IMEs, and other rehabilitation or medical assessments
- Pursue claim progression and closure while balancing care, return-to-work outcomes, legislative requirements, and client objectives
Requirements
What you’ll need- Ontario Paralegal or Lawyer license required
- Minimum of 5 years of experience in workers’ compensation claims management, including complex and/or long-duration claims
- Subject matter expertise across Provincial Workers’ Compensation Boards, including applicable statutes, legislation, policies, procedures, and practices
- Experience with return-to-work planning, rehabilitation strategies, claims resolution, and cost mitigation
- Knowledge of workplace health and safety practices and workers’ compensation experience-rating principles
- Analytical and critical-thinking skills, including evaluating WCB decisions and identifying appeal, objection, or cost-relief opportunities
- Excellent written and verbal communication skills
- Ability to manage competing priorities and complex cases in a fast-paced, deadline-driven environment
- Ability to work independently and collaborate effectively across teams
- Proficiency with Microsoft Word, Excel, and Outlook
- Post-secondary education in a related discipline or equivalent experience
- Work authorization in Canada without current or future visa sponsorship requirements
Benefits
Comp & perks- Health, dental and vision coverages starting Day One
- Wellbeing programs
- Retirement plans with contribution matching
- Generous time off
- Parental leave
- Continuing education
- Career growth opportunities
- Flexible working arrangements wherever possible
- Occasional travel to physical office locations may be required
- Competitive total rewards package
- Background checks and hiring-process accommodations