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The WCB/CNESST Specialist provides case management services on occupational injury claims. He or she is responsible for monitoring and managing injury claims from initial reporting to the early and safe to work employee. Provides guidance and support for external and internal customers to assist in successful return to work. Works with internal vendor to ensure case management processes are implemented to bring files to closure and ensure compliance with legal parameters of health and safety. Liaise with the Insurance carriers, external vendors, health professionals and Centre/Operations to foster collaborative relationships and information gathering and dissemination. Participates in return-to-work meetings, worksite assessments, coordination of medical assessments, representation in legal proceedings as a subject matter expert and Division case reviews. Maintains injury data base and documentation of files.

Job Tasks:

• GSHMRIS data management – injury for Quebec, Atlantic, Alberta, Manitoba, Saskatchewan, New-Brunswick, Newfoundland, and Labrador, Prince-Edward-Island, Nova Scotia.
• Review Division reports, open claims – review and update into journal notes, create action plans, update medical information Review claims for first 14 days checks.
• Review for suppression and lost time conversions GSHMRIS injury changes Decision letters, review medical reports Permanent impairment/accommodation
• Communication with CNESST /WCB, Vendor communication /monitor – case reviews Cost analysis /determine appeals strategy /Actions/next step to be taken in claims Operations Support – information gathering, target action steps Hearings.
• Tribunal representation, prep files for legal, case review /file reviews Settlement reviews – preparing cheques Worksite visit – ergonomic reviews with assessors (phone or on site)
• Return to work meetings – with vendor, operations, and employee Completing TAW forms and coordinate modified work with Operations.
• IME – coordination /administration IME invoice /vendor payment
• Expertise services Conference Calls /meetings with Vendor and Divisions

Knowledge Skills and Abilities:

• Excellent written and oral communications skills.
• Strong interpersonal people skills Varied work experience- union /nonunion
• Good problem solving and analytical ability
• Proficient in computer skills. Word, Excel Ability to work in a team environment as well as independently.
• Ability to prioritize and time manage
• Communication language needs: French 90% / English 10%
  Level of French: proficient
• Good knowledge of case management process /procedures
• Good knowledge of Workers’ Compensation legislation, CNESST Academic Preparation and Relevant Work Experience.
• University or College degree in HR, Health and Safety, Disability Management
• Minimum of 3-5 years of experience in case management, disability / injury management /health related field

Work location: 1221 32nd avenue, Lachine, Quebec.

Work shift: In office presence from Monday to Friday: 9:00 AM – 5:30 PM