Job Description

Reporting to the Manager, Claim Processing & Adjudication, Entitlement Officers adjudicate and determine entitlement to benefits on all incoming claims within established standards and benchmarks. Entitlement Officers are responsible for gathering information and examining claims for the purpose of determining entitlement and referring as appropriate to the Work Disability Prevention or Long Term Benefits Section. These positions interpret and apply Workers Compensation Board legislation, policies, and procedures. Duties include, but not limited to: \xc2\xb7 Determines entitlement to compensation, benefits for injured workers and ensures timely claim decisions. \xc2\xb7 Authorizes appropriate services and benefits for injured workers, including Medical Aid, and Temporary Wage Loss benefits based on legislation and policy. \xc2\xb7 Verifies and authorizes the calculation and payment of benefits. \xc2\xb7 Transfer of claims based on established guidelines. \xc2\xb7 Collaborates with workers, employers and health care providers to ensure complete and timely access to information required for decision making. \xc2\xb7 Ensures access by the injured worker to appropriate medical and rehabilitation services by establishing effective working relationships with, and coordinates the efforts of employers, health care providers, unions and other service providers. \xc2\xb7 Ensures worker files are up to date, summarized and complete and ensures the documentation of reasoned decisions, including rationale, to support weighing of evidence is on file. \xc2\xb7 Works together and actively participates in service improvement initiatives. \xc2\xb7 Works responsibly to follow safe work practices as defined by the organization. The Entitlement Officer interprets and applies Workers Compensation Board legislation, policies and procedures. Qualifications: Applicants must have a post-secondary degree (preferably in health or social sciences) supplemented by 3 years\xe2\x80\x99 experience in a responsible position demonstrating the applicant\xe2\x80\x99s decision-making abilities, analytical and critical thinking skills, interpersonal and oral and written communication skills. Experience working in a client centered team environment with responsibility for interpreting legislation and policy and/or determining entitlement; as well as demonstrated ability to manage a client case load is preferred. Applicants must have the proven ability to compose clear and concise communication materials and to do mathematical calculations to determine wage loss benefit. A sound knowledge of medical terminology and an ability to interpret medical reports is an asset. Demonstrated equivalencies will be considered and must be articulated in the application process. Bilingual in both French and English would be considered an asset. A satisfactory criminal records check and vulnerable sector check is required for this position. Job Posting Closes: Friday, November 24 at 4:30 pm Job Types: Temporary, Full-time Salary: $33.49-$41.85 per hour Schedule:

• Monday to Friday