Senior Specialist, Claims
Core
End-to-end management of occupational injury, illness, disability, and related claims, ensuring compliance with Canadian and U.S. regulatory requirements.
Role type
Senior individual contributor claims specialist
Builds
Claims management processes and risk reduction strategies
Domain
Occupational health and safety / Workers' compensation
Deliverable
client delivery
Required skills
Claims case management, Regulatory compliance, Cost analysis, Stakeholder liaison, Return-to-work planning, Data analysis
Preferred skills
Disability management certification, Bilingualism (English/French), Objection/appeal handling
Technologies
Workers' compensation boards systems, Cost relief application platforms
Responsibilities
Manage claims from first notice of loss through resolution, Assess claim eligibility and submit regulatory reports, Review and reconcile claim cost statements, Partner with leaders on modified work and accommodations, Liaise with insurers and healthcare providers, Represent employer in appeals and administrative proceedings, Analyze claims data to identify risk reduction opportunities
Seniority
Senior, hands-on IC
