Health Claims Administrator

Come help build the future, where our work makes the world work!

SUMMARY

Reporting to the Senior Manager, National Safety Claims - HSEQ, the Health Claims Administrator is responsible for administering and coordinating occupational injury, illness, disability, and Workers’ Compensation Board (WCB) claims across multiple Canadian jurisdictions. You will work closely with employees, healthcare providers, management, Human Resources, legal representatives, and Workers’ Compensation Boards to support effective claims management, return-to-work planning, and regulatory compliance. You will maintain accurate records, protect confidential employee health information, and provide reporting and insights to support risk management and continuous improvement.

PRIMARY SCOPE OF ROLE

Claims Administration and Coordination

• Coordinate and monitor WCB claims across multiple Canadian jurisdictions, including lost-time and medical aid claims.
• Review incident reports, claim information, and supporting records for accuracy, completeness, and compliance.
• Maintain complete claim files, correspondence, databases, and reporting systems, ensuring accurate and reliable information.
• Gather and organize employer documentation required by Workers’ Compensation Boards and other stakeholders.

Stakeholder Support and Return-to-Work Coordination

• Act as a liaison between employees, management, healthcare providers, legal representatives, Human Resources, and Workers’ Compensation Boards.
• Provide guidance to employees and leaders on claim processes, documentation requirements, return-to-work programs, and workplace accommodations.
• Monitor claim status, recovery progress, return-to-work activities, and required follow-up actions.
• Track modified work programs and accommodation plans to support coordinated return-to-work activities.

Compliance, Confidentiality and Data Integrity

• Ensure claims administration activities comply with applicable provincial Workers’ Compensation legislation, policies, procedures, and company standards.
• Protect employee health information in accordance with Canadian privacy legislation and company policies.
• Maintain strict confidentiality, professionalism, discretion, and data integrity in all claims-related records and communications.

Reporting, Analysis and Continuous Improvement

• Analyze claims, injury, and disability data to identify trends and support risk management initiatives.
• Prepare regular reports and summaries for management on claim activity, trends, and return-to-work outcomes.
• Recommend process improvements to strengthen the efficiency and effectiveness of claims administration.

POSITION REQUIREMENTS

• Minimum 3 years of experience in Workers’ Compensation claims administration, disability management, occupational health, Human Resources, or a related field; experience in construction, industrial, energy, or similar high-risk industries is preferred, and multi-jurisdictional Canadian claims experience is a strong asset.
• Post-secondary education in Disability Management, Occupational Health & Safety, or a related discipline is preferred; relevant professional certifications are an asset.
• Working knowledge of Canadian Workers’ Compensation systems, legislation, policies, and claims processes.
• Understanding of disability management, return-to-work programs, workplace accommodation practices, and Canadian Human Rights obligations relating to disability and accommodation.
• Knowledge of Canadian privacy legislation and best practices for managing confidential health information, supported by demonstrated integrity, discretion, and accountability.
• Strong organizational, planning, and time-management skills, with exceptional attention to detail and the ability to manage multiple priorities in a fast-paced environment.
• Excellent written and verbal communication, relationship-building, and customer service skills, combined with strong analytical and problem-solving abilities and a commitment to adaptability and continuous learning.
• Ability to work in an office-based environment; occasional travel or site visits may be required.

Disclaimers

Artificial Intelligence (AI) Disclosure: We may use AI-enabled tools to support certain aspects of our recruitment process, including application screening and recruitment administration. AI-generated insights or recommendations are used to assist our hiring teams and are not the sole basis for employment decisions. All hiring decisions are reviewed and made by human decision-makers.

Vacancy Status: This posting is for an existing job vacancy.

GIP does not accept unsolicited resumes from external recruiters or agencies. We only work with approved partners directly engaged by our Human Resources team for specific searches. Unsolicited submissions will not be eligible for placement fees.

We thank you for your interest. Only those selected for an interview will be contacted.

Green Infrastructure Partners Inc. “GIP”, is an equal opportunity employer and encourages women, Indigenous peoples, persons with disabilities and members of visible minorities to apply. We seek to hire individuals with diverse characteristics, backgrounds and perspectives.

We believe that world-class talent makes no distinctions based on gender, ethnic or national origin, sexual identity and orientation, age, religion or disability, but enriches itself through these differences. GIP will provide accommodations to job applicants with disabilities throughout the recruitment process. If you require an accommodation, please notify us and we will work with you to meet your needs.