Senior Adjudicator, Civic Jobs, CA

Are you interested in taking the next step in your career path in adjudication? We have exciting opportunities for our Senior Adjudicator role in our Richmond, Surrey, Victoria, and Kelowna offices.

You’ll work in a client-centered environment to support and educate clients and address questions regarding claims processes. You will be responsible for claim eligibility decisions and subsequent benefits such as wage loss benefits and health care payments.

You will be pivotal in providing exemplary customer service by establishing compassionate and professional working relationships with injured workers and their employers.

If you want to take your experience making complex adjudicative decisions to the next level, we want to hear from you. How you’ll make a difference: You’ll make important and fair decisions when people get injured at work.

At WorkSafeBC, we offer a hybrid work model that combines the convenience of working remotely with the dynamism of working in one of our offices based on the operational needs of the position.

In this role, you’ll work primarily from your B.C. home and occasionally in your assigned home office.

• Manage an adjudicative caseload with a variety of complex claims, including occupational diseases, activity-related soft tissue disorders (ASTD), aggravations of pre-existing diseases, sensitive claims, appellate returns, mental health claims, and involving a combination of mental health and physical injury claims.
• Facilitate trusting relationships with claims managers who care about the client’s wellbeing, laying a foundation of trust.
• Provide exemplary, compassionate service to all clients, including psychologically fragile clients.
• Maintain current and comprehensive knowledge of claims adjudication best practices, procedures, and processes and routinely provide team members training, coaching, and mentoring.
• Communicate frequently with clients who may be psychologically fragile.
• Determine claim eligibility, disability status, and benefit entitlement.
• Conduct regular independent investigations for complex adjudication.
• Liaise with external providers to collect and analyze comprehensive assessment reports.

Job Responsibilities

• Manage a demanding workload under time pressure and be accountable for prioritizing and organizing various work on an assigned caseload to meet performance objectives.
• Communicate compassionately, clearly, and concisely to various stakeholders.
• Make decisions using sound judgment where specific formal guidelines and policies may not exist.
• Remain resilient, calm, compassionate, and professional in supporting potentially fragile and/or suicidal individuals in stressful, sensitive, and emotionally challenging situations.
• Manage and resolve conflict and diffuse hostility with an ability to provide exemplary and responsive service.
• Establish, foster, and maintain professional, empathetic, supportive, and collaborative working relationships with stakeholders.

Background/Experience

• An undergraduate (bachelor’s) degree
• A minimum of three years of experience making complex adjudicative decisions or applying law and/or policy to make complex determinations in the last 10 years
• Excellent verbal and written communication skills
• We’ll consider equivalent combinations of education and experience.

Important Notice

Before we can finalize any offer of employment, you must:

• Consent to a criminal record check
• Confirm you have a valid B.C. driver’s license
• Confirm you’re legally entitled to work in Canada

Please note this position will involve occasional travel to other WorkSafeBC offices as well as to external job sites around the province.

About Us

At WorkSafeBC, we promote safe and healthy workplaces across British Columbia. We partner with workers and employers to save lives and prevent injury, disease, and disability. When work-related injuries or diseases occur, we compensate and support injured workers in their recovery, rehabilitation, and safe return. We’re honored to serve our province’s 2.49 million workers and 263,000 registered employers.

Our Benefits

As a team member, you’ll have access to services and benefits that help you get the most out of work — and life. Along with a competitive salary, your total compensation package includes:

• Defined benefit pension plan
• 3 weeks of vacation in your first year, with regular increases based on years of service
• Health care and dental benefits
• Optional leave arrangements
• Development opportunities (tuition reimbursement, leadership development, and more): Learn what we offer.

How to Apply

Applications are welcomed immediately; however, they must be received no later than 4:30 p.m. PST on the closing date. Please note that we will be starting assessments before the closing date.

We encourage all qualified applicants to apply. If you require accommodation during the assessment process, please email Recruitment Testing Accommodation (S.M.) when you submit your application.