Return to Work Coordinator

Job Description

We are seeking a Return to Work Coordinator to join our TeksMed team in Chilliwack, BC.

The Disability Case Manager/Return to Work Coordinator reports directly to the Claims Team Leader. Their daily responsibilities include the management of new and ongoing WCB/WSBC/WSIB claims and provide direction and advice to clients in the areas of claims management and return-to-work (RTW). Your duties are to communicate with the employer (client), reviewing and analyzing information provided by the Administration team, and to challenge WCB/WSBCWSIB as appropriate on entitlement issues.

When a factor arises that may result in the delay of RTW or add potential costs to the claims of an employer, you will intervene and take appropriate action to ensure the potential claim costs are mitigated. You are also expected to communicate with the injured worker, the treating physicians (including physiotherapists and/or chiropractors), and the WCB/WSBC/WSIB to assist in facilitating a safe and smooth return-to-work for the worker. This process includes coordinating with each party to ensure the necessary information is collected, accurate and received in reasonable time.

The main challenge is to ensure the best action is taken for the worker and the employer by determining if modified duties are available and appropriate for the worker, or if further medical diagnosis is needed.

The Return to Work Coordinator will:

• Receive and action claim files when a factor arises that may delay RTW or add costs to the claims that are not the responsibility of the employer
• To initiate requests for board Nurse Advisor/Medical Advisor intervention on RTW efforts as appropriate
• To liaise with all parties accordingly to facilitate a RTW when a worker is not cooperating with TeksMed
• Take incoming phone calls from interested parties to either provide information or collect information for those parties
• Seek advice and direction on complex, contentious claims from the Claims Team Manager
• Assess the costs attached to each claim, to best meet the needs of the client
• Prepare and compile information to be presented for entitlement issues (eg: modified duties refusal)
• Take the necessary action to ensure that entitlement issues are appealed to the appropriate appeal body as required and within required timeframes
• Manage new and contentious claims until all contentious issues have been resolved
• Complete a forensic review of high-cost claims for new clients and take necessary action in order to facilitate cost recovery
• To participate in Return to Work Meetings between our clients and WCB/WSBC/WSIB as required
• To initiate requests for cost relief on our client’s behalf and take the appropriate action
• Field inbound and outbound calls to clients, injured workers, physicians or other parties to gather information to assist in ensuring a safe Return-to-Work (RTW)
• Communicate in a consistent and timely manner with the employer and worker
• Arrange and schedule medical assessments, diagnostics, and surgeries as required for WCB/WSBC/WSIB and STD under the support of the treating physician
• Ensure all documents such as RTW plans, and medical assessments are collected, assessed and actioned
• Continually confirm status of worker, to ensure the RTW is successful
• Make decisions on the next course of action by analyzing medical assessments and client/worker information gathered
• Coordinate with co-workers to ensure accurate and imperative information is reviewed, requested and collected for each claim
• Inform client (by phone, when possible) of outcomes and updates
• Prepare scheduled reports for our clients to provide them with an update on the work being undertaken on their behalf
• Participate in client visits and conference calls as required
• Document successful claims outcomes and generate QuikFacts as appropriate
• Provide assistance and input to Client Care as required on the performance or any issues regarding client’s accounts
• Manage customized software database notes on case files by ensuring accuracy and inclusiveness Maintain database by updating information and closing case files once all claims have been addressed and advise all the appropriate parties involved
  
  
  

To be successful as a Return to Work Coordinator with TeksMed, you will need:

• Comprehension of contentious claims and internal policies, procedures and requirements of WCB/WSBC/WSIB
• Understanding of formal business writing and compilation of documentation
• Understanding of medical terminology
• Strong analytical abilities
  
  
  

What's in it for you:

• Learn by working alongside our experts
• Extended health care and dental benefits
• A retirement savings plan with company contributions
• A suite of Health & Wellness offerings
• Mental Health programs and support for you and your family
• Assistance for the completion of industry designations
• Competitive compensation
  
  
  

At People Corporation we are committed to helping businesses succeed. We are a national provider of benefits, retirement, wealth, wellness, and human resource solutions. Our experts and solutions serve over 20,000 clients representing nearly 3 million Canadians. We offer customized solutions designed to fit the unique needs of businesses and their employees, members and stakeholders.

Salary Range: The annual base salary for this position ranges from $45,000 - $55,000 This range only includes the base salary and does not account for other variable compensation components of our total package (such as annual bonuses, commissions, etc.). Should you advance in our recruitment process, a member of our Talent Acquisition team will share further details about our comprehensive total rewards program.

About TeksMed:

TeksMed Services Inc. is the leader in Canadian disability management and wellness programs backed by 30 years of success. TeksMed proactively manages occupational and non-occupational injuries and illnesses with personalized recover-at-work solutions helping hundreds of employers with thousands of employees. Workers also enjoy QuikCare expedited healthcare including free diagnostic imaging and specialist appointments. Helping employees recover and return to work faster, TeksMed reduces lost time and claim costs, resulting in significant savings for employers.

Inspired by a never-ending quest to be the best, TeksMed continues to set the standard and raise the bar for integrity, innovation and exceptional service. The Care Specialist reports directly to the QuikCare Team Manager. Their daily responsibilities include general data entry and administrative duties as they relate to providing an exceptional client experience scheduling medical diagnostic & specialist appointments.