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    Health Adjudicator - Ontario, Canada - Workplace Safety and Insurance Board

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    Description
    Workplace Safety and Insurance Board
    Our priority is the health and wellness of employees and the people of Ontario. As such, this position may involve working from home for part of the duration of this position. The WSIB model mixes working from home, office and field.
    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.

    We are one of the largest insurance organizations in North America covering over five million people in more than 300,000 workplaces across Ontario.

    You'll also receive a competitive salary, along with a comprehensive benefit package and defined benefit pension plan.
    Eligibility Adjudicators work with our customers to decide on wage-loss benefits and medical coverage.
    The WSIB is recruiting for current and future unilingual and bilingual (French speaking) opportunities in the following locations:
    Comprehensive in-house training program- giving you the tools you need to succeed in the job
    A defined-benefit pension plan - know what your pension will be when you retire
    Comprehensive employee benefit plan – medical, dental, disability insurance, counselling and more
    Language bonus for our bilingual (French and English) Adjudicators

    Use a proactive case management approach to make and communicate eligibility decision 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 proving relevant information, and helping the workplace parties understand their rights, responsibilities and obligations.

    Manage cases that are allowed, denied, reconsidered or resolved within established program guidelines, following a structured case management framework to enable them to achieve high quality eligibility decisions and successful outcomes.

    A dynamic role – every day, you will review and make high quality decisions on cases that differ from each other.

    Reading, interpreting and applying the WSIB policy and legislation under the Workplace Safety and Insurance Act (the Act) to support your decisions

    This is a speaking job – you will be on the phone with employers, injured people, representatives and healthcare providers to collect and understand information in order to make timely decisions.

    Responding to customer enquiries throughout the day and following up on items via phone calls/emails.
    You will write letters to explain decisions on wage-loss benefits and medical coverage, at times delivering adverse decisions verbally and in writing

    Perform other related duties as assigned or required such as participation in the development and implementation of business plans and projects.

    University completion at undergraduate level
    Adjudication is a process of decision making, gathering an weighing information against guidelines, policy and laws to arrive at an objective outcome

    To apply for this position, please submit your application by the August 14, 2023 through our website:

    The WSIB is an equal opportunity employer and provides accommodation for job applicants in accordance with the Human Rights Code and the Accessibility for Ontarians with Disabilities Act.

    If you are an individual with a disability and you need accommodation in order to apply for this position, please contact .

    Please be advised that you may be required to provide medical documentation to the WSIB's Corporate Health Department so that appropriate accommodation can be provided to you throughout the recruitment process.


    These may include:
    political activity, directorship or other outside employment and certain personal relationships (e.g. with existing WSIB employees, clients and/or stakeholders).

    If you have questions or concerns regarding the collection and use of your personal information, contact the WSIB Privacy Office, 200 Front Street West, Toronto, ON, M5V 3J1 or or extension 5323.

    Telephone Number


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