Senior Adjudicator

Kelowna, BC, Canada

Job Description


Overview

Are you interested in taking the next step in your career path in adjudication? We have exciting opportunities for our Senior Adjudicator role in our Richmond, Surrey, Victoria, and Kelowna offices.

You\xe2\x80\x99ll work in a client-centric environment to support and educate clients and address questions regarding claims processes. You will be responsible for claim eligibility decisions and subsequent benefits such as wage loss benefits and health care payments. You\xe2\x80\x99ll play a pivotal role in providing exemplary customer service by establishing compassionate and professional working relationships with injured workers and their employers.

If you want to take your experience making complex adjudicative decisions to the next level, we want to hear from you.

How you\xe2\x80\x99ll make a difference: You\xe2\x80\x99ll make important and fair decisions when people get injured at work.

At WorkSafeBC, we offer a hybrid work model that combines the convenience of working remotely with the dynamism of working in one of our offices, based on the operational needs of the position.

In this role, you\xe2\x80\x99ll work primarily from your B.C. home and occasionally in our Richmond, Surrey, Victoria, Kelowna or Prince George office.

What you\'ll do

  • Manage an adjudicative caseload with a variety of complex claims including occupational diseases, activity-related soft tissue disorders (ASTD), aggravations of pre-existing diseases, secondary entitlements, sensitive claims, appellate returns, mental health claims, and involving a combination of mental health and physical injury claims
  • Ensure that adjudication is fair and impartial, and that recovery and return to work facilitates trusting relationships with claims managers who care about the clients\xe2\x80\x99 wellbeing, laying a foundation of trust
  • Provide exemplary, compassionate service to all clients, including clients who are psychologically fragile
  • Maintain a current and comprehensive knowledge of claims adjudication best practices, procedures, and processes and routinely provide training, coaching, and mentoring to team members
  • Communicate frequently with clients who may be psychologically fragile
  • Determine claim eligibility, disability status, and benefit entitlement
  • Conduct regular independent investigations for complex adjudication
  • Liaise with external providers to collect and analyze comprehensive assessment reports
Is this a good fit for you?

We\xe2\x80\x99re looking for people who can:
  • Manage a demanding workload under time pressure and be accountable for prioritizing and organizing a variety of work on an assigned caseload to meet performance objectives
  • Communicate compassionately, clearly, and concisely to various stakeholders
  • Make decisions using sound judgement where specific formal guidelines and policies may not exist
  • Remain resilient, calm, compassionate, and professional in supporting potentially fragile and/or suicidal individuals in stressful, sensitive, and emotionally challenging situations
  • Manage and resolve conflict and diffuse hostility with an ability to provide exemplary and responsive service
  • Establish, foster, and maintain professional, empathetic, supportive, and collaborative working relationships with stakeholders
Your background and experience
  • An undergraduate (bachelor\xe2\x80\x99s) degree
  • A minimum of three years of experience making complex adjudicative decisions or applying law and/or policy to make complex determinations in the last 10 years
  • Excellent verbal and written communication skills
We\xe2\x80\x99ll consider equivalent combinations of education and experience.

Important to know

Before we can finalize any offer of employment, you must:
  • Consent to a criminal record check
  • Confirm you have a valid BC driver\'s license
  • Confirm you\xe2\x80\x99re legally entitled to work in Canada
WorkSafeBC\xe2\x80\x99s COVID-19 Employee Mandatory Vaccine Policy (the \xe2\x80\x9cPolicy\xe2\x80\x9d) is suspended effective January 9, 2023, however we reserve the right to re-implement it in response to changes in the public health landscape, including public health orders. We are committed to the protection, health, and safety of our employees and our Communicable Disease Prevention Program and related protocols remain in effect.

Who we are

At WorkSafeBC, we promote safe and healthy workplaces across British Columbia. We partner with workers and employers to save lives and prevent injury, disease, and disability. When work-related injuries or diseases occur, we provide compensation and support injured workers in their recovery, rehabilitation, and safe return to work. We\xe2\x80\x99re honoured to serve the 2.49 million workers and 263,000 registered employers in our province.

What\xe2\x80\x99s it like to work at WorkSafeBC?

It\xe2\x80\x99s challenging, stimulating, and rewarding. Our positions offer diversity and opportunities for professional growth. Every day, the work we do impacts people and changes lives. What we do is important, and so are the people we do it for.

Our ability to make a difference relies on building a team with a rich variety of skills, knowledge, backgrounds, abilities, and experiences that reflects the diversity of the people we serve. We are committed to fostering a welcoming, inclusive, and supportive work culture where everyone can contribute as their best, authentic self.

Learn more: Discover .

WorkSafeBC

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Job Detail

  • Job Id
    JD2204897
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Kelowna, BC, Canada
  • Education
    Not mentioned