Disability Case Manager - Chilliwack, Canada - TeksMed Services Inc.

TeksMed Services Inc.

Verified Company

Chilliwack, Canada

3 weeks ago

Posted by:

Sophia Lee

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Description

The Return to Work Coordinator reports directly to the RTWC Team Manager.

Their daily responsibilities include the management of new and ongoing WCB/WSBC/WSIB claims and provide direction and advice to clients in the areas of claims management and return-to-work (RTW).

Your duties are to communicate with the employer (client), reviewing and analyzing information provided by the Administration team, and to challenge WCB/WSBCWSIB as appropriate on entitlement issues.

When a factor arises that may result in the delay of RTW or add potential costs to the claims of an employer, you will intervene and take appropriate action to ensure the potential claim costs are mitigated.

You are also expected to communicate with the injured worker, the treating physicians (including physiotherapists and/or chiropractors), and the WCB/WSBC/WSIB to assist in facilitating a safe and smooth return-to-work for the worker.

This process includes coordinating with each party to ensure the necessary information is collected, accurate and received in reasonable time.

The main challenge is to ensure the best action is taken for the worker and the employer by determining if modified duties are available and appropriate for the worker, or if further medical diagnosis is needed.

Responsibilities

Receive and action claim files when a factor arises that may delay RTW or add costs to the claims that are not the responsibility of the employer
To initiate requests for board Nurse Advisor/Medical Advisor intervention on RTW efforts as appropriate
Take incoming phone calls from interested parties to either provide information or collect information for those parties
Assess the costs attached to each claim, to best meet the needs of the client
Prepare and compile information to be presented for entitlement issues (eg: modified duties refusal)
Take the necessary action to ensure that entitlement issues are appealed to the appropriate appeal body as required and within required timeframes
Manage new and contentious claims until all contentious issues have been resolved
Complete a forensic review of highcost claims for new clients and take necessary action in order to facilitate cost recovery
To participate in Return to Work Meetings between our clients and WCB/WSBC/WSIB as required
To initiate requests for cost relief on our client's behalf and take the appropriate action
Field inbound and outbound calls to clients, injured workers, physicians or other parties to gather information to assist in ensuring a safe ReturntoWork (RTW)
Communicate in a consistent and timely manner with the employer and worker
Arrange and schedule medical assessments, diagnostics, and surgeries as required for WCB/WSBC/WSIB and STD under the support of the treating physician
Ensure all documents such as RTW plans, and medical assessments are collected, assessed and actioned
Continually confirm status of worker, to ensure the RTW is successful
Make decisions on the next course of action by analyzing medical assessments and client/worker information gathered
Coordinate with coworkers to ensure accurate and imperative information is reviewed, requested and collected for each claim
Inform client (by phone, when possible) of outcomes and updates
Prepare scheduled reports for our clients to provide them with an update on the work being undertaken on their behalf
Participate in client visits and conference calls as required
Manage customized software database notes on case files by ensuring accuracy and inclusiveness
Maintain database by updating information and closing case files once all claims have been addressed and advise all the appropriate parties involved

Operational Knowledge

Comprehension of contentious claims and internal policies, procedures and requirements of WCB/WSBC/WSIB
Understanding of formal business writing and compilation of documentation
Understanding of medical terminology

Skills/Abilities

Proven time management, prioritization and attention to detail skills
Demonstrated ability to communicate actively and comfortably in using negotiation, dispute resolution, and problem sensitivity techniques
Comfortable working independently and making decisions with confidence
Ability to conduct research on the internet for medical terminology, medical assessment results, and/or for determining probable medical requirements
Strong analytical abilities

Job Types:
Full-time, Permanent

Salary:
$40,000.00-$70,000.00 per year

Benefits: