Job Overview:
Analyze claims involving a potential third party for right of action in accordance with the provisions of the Workplace Safety and Insurance Act.
Act as the central point of contact relating to third party election related matters.
Act as the central point of contact to triage files relating to transfer of cost (TOC) and motor vehicle accident (MVA) cost relief.
Utilize systems such as Microsoft Office Suite to design and produce reports, tables and queries and provide administrative support to a team of Adjusters and Management.
What you’ll do:
- Opening and maintaining paper and electronic filing systems
- Analyzing information and making a decision as to whether or not an election form is required based upon legislation, policy and section criteria. Notifying internal staff if an election form is not required so that adjudication may proceed
- Reviewing requests for de-election in schedule 2 claims and corresponding with appropriate parties
- Act as the central point of contact to receive and action claims involving a potential third party for the purposes of determining if an election form should be issued to the worker/survivor by:
- Perform other duties as assigned such as completing records management activities, which include closing and preparing files for shipment to offsite storage according to retention schedules.
- Reviewing referred claims to determine if there is sufficient information to identify a potential third party.
- Where there is an absence of sufficient information, make appropriate enquiries of internal WSIB staff to assist with obtaining information in support of an election decision
- Maintaining an abeyance system for Branch file activity to meet processing guidelines responding to internal and external enquiries relating to TOC/MVA cost relief matters including explanation of processes, status of files to authorized parties and troubleshooting complex issues for potential further handling by Adjusters and management
- Referring specific claim types to designated knowledgeable staff for guidance on further handling
- Determining workplace parties entitlement to file information and providing information as per policy obtaining police, Ministry of Labour investigation reports, claim file documents or other types of reports that will facilitate file handling by a team of Adjusters
- Assist team of Adjusters and Manager with conducting legal research in support of subrogated claims. Identify relevant cases and summarize information to support decision making. Upon receipt of settlement amounts, complete necessary calculations to determine if worker is entitled to a surplus.
- Reviewing requests for extension of time to elect and corresponding with appropriate parties
- Preparing files for referral to Legal Services Branch or Workplace Safety and Insurance Appeals Tribunal in specified formats.
What you’ll have:
- Three years prior experience in legal administration.
- Post secondary diploma up to two years in a legal assistant program.