Job Description

Job Summary:

Adjudicators play a pivotal role in the claims process, often serving as the initial point of contact for workers and employers during sensitive circumstances. They are tasked with creating a positive first impression by acknowledging reported injuries and gathering pertinent information necessary to make timely and well-communicated decisions. Through telephone and written correspondence, Adjudicators determine eligibility for compensation benefits and services, ensuring decisions are consistent with established policies and legislation.




We are seeking service-oriented, proactive, and results-driven professionals capable of thriving in a fast-paced environment. Utilizing a proactive claims management approach, Adjudicators make and communicate eligibility decisions promptly and consistently. They provide essential information to internal and external stakeholders regarding recovery and return-to-work processes, addressing the needs of workers and employers by actively listening, collecting and conveying relevant information, and clarifying rights, responsibilities, and obligations.

Job Duties:

Determine claim eligibility and authorize/deny entitlement to compensation based on established criteria.



Communicate decisions and rationale to injured workers, employers, and healthcare providers.



Gather and analyze medical, employment, and wage information to support claims processing.



Coordinate and facilitate claims management, ensuring timely resolution of Time Loss, Occupational Disease, Hearing Loss, and Fatality claims.



Implement return-to-work plans in collaboration with stakeholders.



Monitor physiotherapy and chiropractic treatment claims, ensuring compliance with protocols.



Manage noise-induced hearing loss claims for the full duration.



Identify and resolve claims with pre-existing conditions, applying cost relief policies as needed.

Deliver presentations and attend stakeholder meetings on behalf of WCB.



Ensure compliance with The Workers Compensation Act and other relevant legislation.

Qualifications:

Education - Completion of a two (2) year diploma in a related discipline.



Experience - Minimum three years of experience making entitlement decisions based on defined policies, procedures, and legislation.



Analytical Skills - Ability to assess and evaluate information to support claims decisions.



Knowledge - Familiarity with adjudication, disability management, case management, and medical terminology.



Communication Skills - Strong written and verbal communication skills to interact with diverse stakeholders.



Client Service - Ability to provide excellent client service, even in sensitive and high-pressure situations.



Technical Proficiency - Proficiency in Windows-based software (Word, Excel, PowerPoint, etc.).



Organizational Skills - Ability to prioritize workload and meet tight deadlines.



Public Speaking - Ability to deliver presentations to external clients.



Teamwork & Independence - Ability to work collaboratively or independently as needed.



Bilingualism (English & French) is an asset but not required.

Competencies:

Essential:

Client Service Orientation


Judgment/Problem Solving


Analysis/Problem Assessment


Planning, Organizing and Follow Up




Very Important:

Communication - Written and Verbal




Important:

Teamwork


Persuasiveness


Impact

Additional Information:

Up to 8 Permanent Positions



This position's work from home suitability is rated as Medium



Developmental opportunities for those who do not meet the qualifications or are unsuccessful in the interview process may be available.



Successful applicants will be placed on a 6-month eligibility list that will be used to staff all permanent and term vacancies over this period. If you are on an existing eligibility list for this position, you will need to re-apply to be eligible for this new eligibility list.



You may be asked to demonstrate your ability through competency based interviewing and/or testing.



Screening decisions are based on information outlined in your resume and cover letter. Your work performance must be satisfactory for your application to be considered. If applying for a term position or out of a term position, please note that article 10.09d of the Collective Agreement may apply.



Please note that this position is expected to begin on September 2, 2025 with a 10 week training class. Hours of work during the training period are 8:30 a.m.-4:30 p.m. Participation in Compressed Work Week, Additional Day Off (ADO), or a Flexible Work Hours schedule will be suspended during a training class and no extended vacation time will be permitted.




The WCB recognizes that individuals may face barriers that hinder their full and equal participation in the workplace, and is committed to providing reasonable accommodation to all employees and candidates who are or may be disabled by one or more barriers in the workplace. Accommodations are available on request for candidates taking part in all aspects of the selection process.

Additional Information:

The Workers Compensation Board of Manitoba (WCB) serves workers and employers through a no-fault insurance system integral to the Manitoba economy. With approximately 600 employees, the WCB is dedicated to ensuring and supporting safe and healthy workplaces.




We put workers and employers at the centre of everything we do, providing services for injury prevention, compensation and facilitating return to health and work. Through SAFE Work Manitoba, a division of the WCB, we collaborate with our partners to build a strong culture of workplace safety and health by preventing injuries and illnesses before they occur.




If you're passionate about making a meaningful difference in people's lives, we invite you to join our dedicated team and contribute to a safer Manitoba.

_______________________________________

Why work for us?



If you're looking to make a real difference in your community, grow your career and work in a supportive, inclusive environment, the WCB is the place for you. We offer:



competitive wages compressed work week and flexible start times defined benefit pension plan 100% employer-paid benefits work from home program paid professional development health and wellness spending accounts paid mental health and wellness days staff appreciation and recognition events respectful, diverse and inclusive workplace culture


Apply today and see why we're one of Manitoba's Top Employers.



Annual Salary Range: $66,438 - $85,536



Tentative Start Date: August 25, 2025

Training Period: 10 weeks (Monday - Friday, 8:30 a.m. - 4:30 p.m.).



A criminal record check and education verification will be required for the successful candidate.



The WCB is committed to building a skilled, diverse workforce with equitable representation of Indigenous persons, visible minorities, persons with disabilities, women, 2SLGBTQ+ persons and members of other equity-seeking groups. Applicants are encouraged to indicate in their covering letter or resume if they are a member of these groups.



The WCB recognizes that individuals may face barriers that hinder their full and equal participation in the workplace, and is committed to providing reasonable accommodation to all employees and candidates who are or may be disabled by one or more barriers in the workplace. Accommodations are available on request for candidates taking part in all aspects of the selection process.