Amended, Talent Pool - Eligibility Adjudicator, Service Delivery - *Amended*

---

The number of vacancies for this position has not been determined at this time. The current recruitment will be used to create a pool of qualified candidates to fill upcoming opportunities within the next eighteen months.
Recruiting for future opportunities (unilingual and bilingual) in the following locations:
*Toronto * Kitchener * Hamilton * London * Windsor
*Ottawa * Thunder Bay * Sudbury

---

About the job

Eligibility Adjudicators in many cases may be the workplace parties' first point of contact and will create a positive first impression by acknowledging the injury, collecting relevant information required to make timely and well communicated quality decisions that enable workers to achieve the best possible return to work and recovery outcomes.
Working in a fast-paced, service oriented environment, Eligibility Adjudicators use a proactive case management approach to make and communicate eligibility decisions in a timely and consistent fashion. This includes decisions on benefits and services and the areas of injury allowed. They provide basic information to workplace parties who are demonstrating self-sufficiency in recovery and return-to-work.
Eligibility Adjudicators address worker and employer needs by actively listening, collecting and providing relevant information, and helping the workplace parties understand their rights, responsibilities and obligations. Following a structured case management framework will enable Eligibility Adjudicators to achieve high quality outcomes and success with eligibility decisions.

---

What you bring to the team

Key Accountabilities and Responsibilities

• Inform parties of their rights, responsibilities and obligations under the WSI Act and applicable legislation, and the consequences of non-compliance.
• Proactively collect and document relevant information from workplace parties and healthcare providers required for eligibility decisions and respond to inquiries.
• Assess case and plan towards best outcomes. Make timely and accurate eligibility decisions and communicate them, verbally and in writing.
• Support workplace parties in their return to work (RTW) efforts by sharing any available information about the workers' capabilities and/or precautions.
• Ensure appropriate earnings information is on file in order to determine the appropriate duration and level of benefits.
• Review and monitor cases until closure or transition to a Case Manager, assessing RTW and recovery factors to differentiate cases requiring Case Manager expertise.
• Identify and refer cases to appropriate internal WSIB parties (Payment Specialist, Nurse Consultant, Account Specialist, Legal Services) to gain their expertise on various components of a claim when the need for appropriate intervention is recognized and follow up with them as required.
• Attempt to prevent or resolve disputes, handle requests for reconsideration and, if unresolved, arrange access and process the objection.
• Perform other related duties as assigned or required such as participation in the development and implementation of business plans and projects.

Job Qualifications

• Strong analytical, problem solving, critical thinking and decision making skills in order to assess complex information and make timely decisions with a strong sense of urgency
• Successful completion of university degree
• 2-3 years of related work experience is preferred
• Knowledge of and experience in a fast-paced, high volume, service oriented environment
• Results-driven approach and excellent customer service includes strong communication and active listening skills, effective negotiation, influencing and dispute-resolution abilities
• Achievement orientation and strong organizational and time management skills that allows you to effectively work under pressure in a high volume environment
• Ability to work independently and as part of a team is essential as is experience composing complex written documentation
• Computer literacy in Windows, MS Office and Lotus Notes

What we Offer

In the role of Eligibility Adjudicator, the WSIB offers a comprehensive training program which involves 7 weeks of in-class training in Toronto, followed by 10 to14 weeks of practicum at your office location. During the practicum, the direct Manager will work closely with the trainee and provide on-going developmental feedback in a learning environment. Attendance and completion of the full training program is a mandatory requirement and therefore we require full commitment and attendance is mandatory during this time. As part of the practicum, your performance will be closely monitored and reviewed and you will be required to achieve Eligibility branch objectives set out as part of the training program.

We offer an excellent comprehensive benefits package, competitive compensation and learning opportunities.

What we offer you in return:

• Eligibility to participate in medical and dental benefits
• 3 weeks of annual paid vacation and 12 wellness days per year, in which 6 unused days can be rolled over into vacation days
• Leadership Development Program
• Our Career Success Centre provides career and development tools and resources including individual career coaching to employees to help build career plans and ensure greater success in future roles
• Classroom and virtual learning opportunities that promote continuous learning and professional development with customized performance and talent management programs
• Tuition Assistance Program (TAP)
• Employee and Family Assistance Program
• Wellness programs and healthy workplace initiatives

---

Additional information:

Note:

• This ad is also available in French.
• This posting is for an organization that is not a part of the Ontario Public Service. The information and tips on the Ontario Public Service Careers website may not apply to this posting. Please use the contact information below to contact the organization directly if you have questions.

---

Language requirements and assessment:
All external Ontario Public Service (OPS) job ads are posted in English and French. Check the "position(s) language" section at the top of each job ad for the language requirements. For all roles, candidates are assessed in English, the business language of the OPS. If the position is bilingual (English/French), you'll also need to pass a French-language proficiency test.

Exigences en matière de langue et évaluation:
Toutes les offres d'emploi externes de la fonction publique de l'Ontario (FPO) sont affichées en français et en anglais. Consultez la section « Langue du ou des postes » en haut de chaque offre d'emploi pour connaître les exigences linguistiques. Pour tous les postes, les candidats sont évalués en anglais, la langue d'affaires de la FPO. Si le poste est bilingue (anglais/français), vous devrez également passer un test de compétences linguistiques en français.

All external applicants (including former employees of the Ontario Public Service) applying to a competition in a ministry or Commission public body must disclose (either in the cover letter or resume) previous employment with the Ontario Public Service. Disclosure must include positions held, dates of employment and any active restrictions as applicable from being rehired by the Ontario Public Service. Active restrictions can include time and/or ministry-specific restrictions currently in force, and may preclude a former employee from being offered a position with the Ontario Public Service for a specific time period (e.g. one year), or from being offered a position with a specific ministry (either for a pre-determined time period or indefinitely). The circumstances around an employee's exit will be considered prior to an offer of employment.

Information collection notice

We are collecting your personal information to assess how well you meet the qualifications for employment with the Ontario Public Service, and for related recruitment purposes. The collection of personal information is necessary to the proper administration of OPS Careers, which is an authorized common service in accordance with s. 6 of the Ministry of Government Services Act, R.S.O. 1990, c. M.25.

Please do not include any more personal information than is needed for your application (for example, do not include your photograph or social insurance number).

If you have any questions about how your information is collected, used, shared or saved, please contact us.