Senior Adjudicator

Kelowna, BC, Canada

Job Description


OverviewAre you interested in taking the next step in your career path in adjudication? We have opportunities for Senior Adjudicators \xe2\x80\x93 vital roles that provide quality adjudication to support injured workers and employers. The Senior Adjudicator role encompasses a variety of complex and specialized adjudication areas including mental health, occupational disease, activity-related soft-tissue disorders, and secondary adjudication.You\xe2\x80\x99ll work in a client-centric environment, adjudicating complex claims, supporting and educating clients, and addressing questions regarding the claims process, decisions, health care and compensation benefits, and related matters. You\xe2\x80\x99ll provide exemplary customer service by establishing compassionate and professional working relationships with injured workers and their employers.How you\xe2\x80\x99ll make a difference: You\xe2\x80\x99ll make important and fair decisions when people get injured at work.Where you\xe2\x80\x99ll workWorkSafeBC, we currently 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 onsite at your assigned office.What you\'ll do

  • Manage an adjudicative caseload of complex claims that includes occupational diseases, activity-related soft tissue disorders, aggravations of pre-existing diseases, sensitive claims, appellate returns, mental health claims, and combination mental and physical injury claims
  • Ensure 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
  • Communicate frequently with clients who may be psychologically fragile and provide exemplary, compassionate service to all clients
  • Determine claim eligibility, disability status, and benefit entitlement
  • Conduct independent investigations for complex adjudication by gathering evidence and performing risk factor assessments
  • Liaise with clinical and non-clinical consultants to collect and analyze comprehensive assessment reports
  • Maintain a current and comprehensive knowledge of claims adjudication best practices, procedures, and processes and provide training, coaching, and mentoring to team members
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 organizing a variety of work on an assigned caseload
  • Communicate compassionately, clearly, and concisely to various parties including injured workers, employers, clinical providers, and consultants
  • Made decisions using sound judgement where specific formal guidelines and policies may not exist
  • Remain resilient, calm, compassionate, and professional in supporting potentially fragile 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
  • Travel to other WorkSafeBC offices as well as to external job sites
Your background and experience
  • A bachelor\xe2\x80\x99s degree in a relevant discipline; and
  • A minimum of three years of experience making complex adjudicative decisions or applying law and policy to make complex determinations where you analyzed facts and issues, integrated information from multiple sources, and weighed evidence
  • Excellent communication skills including the ability to explain complex information verbally and in writing
  • A valid B.C. driver\xe2\x80\x99s license
Important to knowBefore we can finalize any offer of employment, you must:
  • Successfully meet the legal requirements under the Criminal Records Review Act to work with children and/or vulnerable adults
  • 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 are we?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: DiscoverOur benefitsAs a member of our team, you\xe2\x80\x99ll have access to services and benefits that help you get the most out of work \xe2\x80\x94 and life. Along with a competitive salary, your total compensation package includes:
  • Defined benefit pension plan that provides you with a lifetime monthly pension when you retire
  • 3 weeks of vacation in your first year, with regular increases based on years of service
  • Extensive health care and dental benefits
  • Optional leave and earned-time-off arrangements
  • Development opportunities (tuition reimbursement, leadership development, and more)
  • Health and wellness resources, such as the Employee and Family Assistance Program, LifeSpeak, the MindWell Challenge, and virtual and in-person fitness programs
Learn more: Find out .Salary: $44.87/hourlyWant to apply?
  • Applications are welcomed immediately, however must be received no later than 4:30 p.m. PST on the closing date.
  • Please note that we will be starting assessments prior to the closing date.
We encourage all qualified applicants to apply. If you require an accommodation in the assessment process, please email when you submit your application.

WorkSafeBC

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Job Detail

  • Job Id
    JD2347396
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    $44.87 per hour
  • Employment Status
    Permanent
  • Job Location
    Kelowna, BC, Canada
  • Education
    Not mentioned