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- Analyze claims and ensure administrative and medical follow-up;
- Gather missing information;
- Draft eligibility comments;
- Follow-up on returns to work and temporary assignments;
- Follow-up with government authorities (CNESST and authorities in other Canadian provinces), the physician, the client and other stakeholders;
- Analyze government decisions for follow-up or contestation;
- Prepare files with the client's lawyer for hearings at the Tribunal Administratif du Travail;
- Manage claims and disability cases within the company and follow up files with the various provincial agencies;
- Verify disbursements and credits for ongoing files with government authorities;
- Verify disbursements from government authorities (CNESST and authorities in other Canadian provinces) and the allocation of customer costs;
- Perform all other related tasks.
- Education: College or university diploma in human resources, legal techniques, administration, or other related degree;
- Experience: 1 to 3 years experience in administration / file management and follow-up;
- Strong interest in health & safety and disability management in the workplace (experience in this field as well as knowledge of CNESST and/or LATMP would be an excellent asset
- Computer skills: Knowledge of SharePoint, Microsoft Teams, Office 365 Suite (especially Word and Excel) to update and correct file tracking tables;
- Organization: You have good organizational skills and know how to effectively manage priorities and follow-ups. You are able to manage several files simultaneously;
- Passion: You love health and safety and have an excellent understanding of claims. You are proactive and enjoy sharing your knowledge with colleagues;
- Analytical mind: You are able to make clear diagnoses and direct your solutions towards the company's strategic objectives. You seek to reduce costs and improve employee well-being;
- Bilingualism: You are comfortable communicating in French and English, both orally and in writing. You are a good listener, and easily understand customer needs;
- Profile required: Rigor, Autonomy, Initiative, Resourcefulness.
Disability Management and OHS Claims Advisor - Montreal, Canada - Groupe Touchette Inc
Description
The Disability Management and OHS Claims Advisor is responsible for managing disability and workers' compensation files for all of Canada (CNESST, WSIB, WorkSafeBC, etc.). The person will be responsible for the administrative, medical and legal follow-up of all files, in their entirety, in order to support our OHS team and our managers. The Advisor will be required to make recommendations and decisions on the various files, putting forward cost reduction strategies. The Advisor will also be responsible for liaising with the various parties involved and advising customers on sound claims management.
Assigned responsibilities
Success factors