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Added 7 mins ago
Manager, Home Care Service
CANES Community Care
Toronto, ON · Etobicoke, ON
Full-time
The Manager, Home Care Services is responsible for the operational leadership, performance management, and oversight of provincially funded home care service contracts, ensuring…
Added 8 mins ago
Associate Director, Asset Services
Cushman & Wakefield
Toronto, ON
Full-time
…The role acts as the first point of contact for integrating service platform for the client, as well as ensuring that accounting practices are sound and consistently applied. The Associate…
Added 8 mins ago
Bilingual (Fr/En) Human Resources Manager
The Canada Life Assurance Company
Montreal, QC
We are looking for a bilingual Human Resources Manager to join our collaborative and passionate Human Resources team that is committed to helping our people and business succeed. In this…
Added 8 mins ago
Client Onboarding Manager
Citi
Mississauga, ON · Toronto, ON
Full-time
…navigate increasingly complex business environments - and as a Client Onboarding Senior Analyst, you will be at the center of that experience. In this role, you will own the end-to-end…
Added 22 mins ago
Multimedia Producer
TD
Toronto, ON
Full-time
North American Customer Operations (NACO) is a broad network of client-facing contact centres and strategic support teams that plays a critical role in how TD serves millions of clients…
Added 22 mins ago
Interim Chief Information Security Officer
LHH Knightsbridge
Toronto, ON · Greater Toronto Area, Canada
Contract
Our client, a leading academic institution, is making a significant investment in information security through the creation of a new Chief Information Security Officer position reporting to…
Added 22 mins ago
Manager, Partner Accounts & Business Development
Butterfield & Robinson
Toronto, ON
Full-time
You will work closely with the Senior Director of Business Development, Regional Directors, Marketing, Sales, Operations, and Digital teams to help bring complex partner-led opportunities…
Added 24 mins ago
Commercial Lines Account Associate, Professional Liability
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Full-time
Preparing for and participating in client meetings in support of Account Manager
Added 24 mins ago
Support Services Worker - Regular Full Time
Hopewell Support Services
Guelph, ON
Full-time
Competitive regular hourly wage rate for hours worked range between $23.31 - $29.29 and flexible work schedule based on client & staff needs.
Added 24 mins ago
Modality Supervisor - MRI Diagnostic Imaging
William Osler Health System
Brampton, ON
Full-time
…training and promotional opportunities. Guided by our accomplished senior leadership team, together we are driving our vision of world-class health care inspired by our people and…
Added 24 mins ago
Modality Supervisor – X-Ray - Multiple sites
William Osler Health System
Brampton, ON
Full-time
…training and promotional opportunities. Guided by our accomplished senior leadership team, together we are driving our vision of world-class health care inspired by our people and…
Added 38 mins ago
General Manager
CCLS (Canada Cartage Logistics Solutions)
Mississauga, ON
Full-time
The General Manager is responsible for the overall leadership, performance, and success of a large 250,000 sq ft multi-customer distribution and fulfillment centre. This role oversees all…
Added 1 hour ago
Technical Product Owner, AI-Enabled Enterprise Solutions
TD
Toronto, ON
Full-time
Continuously align with senior management on the product delivery roadmap, defined Minimum Marketable Features or Minimum Viable Products and release cadence
Added 1 hour ago
Manager, Sales Compensation
Aviso
Toronto, ON
$110,000 to $135,000 CAD / year
Full-time
We're looking to fill an opening for a Manager, Sales Compensation to join our People and Culture team.
Added 1 hour ago
Modality Supervisor – X-Ray - Multiple sites
William Osler Health System
Brampton, ON
Full-time
…training and promotional opportunities. Guided by our accomplished senior leadership team, together we are driving our vision of world-class health care inspired by our people and…
Added 1 hour ago
Marketing Department Manager
Small World Music
Toronto, ON
Contract
Small World Music is looking for an experienced Marketing Department Manager to lead and develop our Marketing Department at an important point in the organization’s evolution. As the…
Added 1 hour ago
Senior Process Engineer
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Reporting to the Engineering Manager, the Senior Process Engineer is responsible for water-related process studies, preparation of process flow diagrams, design and engineering involving…
Added 1 hour ago
Manager, Wealth Credit Structuring
Scotiabank
Winnipeg, MB
The Manager, Wealth Credit Structuring is focused on customized commercial credit underwriting (new applications and annual reviews). The role is responsible for contributing to the quality…
Added 1 hour ago
Group Product Manager
CIBC
Toronto, ON
Full-time
Initiative execution - Support the Director and Senior Director in delivering both tactical and complex strategic initiatives across internal and external partners.
Added 1 hour ago
National Account Manager - Canada
Installation Made Easy
Remote, Canada
Remote
…l’atteinte des initiatives liées aux comptes, des attentes de service et des cibles de…
Added 1 hour ago
Director, Journey Enablement, Self-Serve Onboarding & Servicing
BMO
Toronto, ON · BMOPLACE
Full-time
In addition, they will identify opportunities to leverage AI to enhance or reimagine the client's experience, automate processes, and optimize the touchpoints across the journey. This is a…
Added 1 hour ago
Manager, Journey Enablement, Assisted Onboarding
BMO
Toronto, ON · BMOPLACE
Full-time
In addition, they will identify opportunities to leverage AI to enhance and reimagine the client experience, automate processes, and strengthen risk and fraud outcomes. This is a…
Added 1 hour ago
Director, Journey Enablement, Assisted Servicing & Collections
BMO
Toronto, ON · BMOPLACE
Full-time
…candidate will identify and lead opportunities to optimize the client and employee experience, streamline operations, and deliver measurable business outcomes. They will also champion the…
Added 1 hour ago
Manager, Sales Compensation
Aviso Wealth
Remote, Canada
$110,000 to $135,000 CAD / year
Full-time · Remote
We’re looking to fill an opening for a Manager, Sales Compensation to join our People and Culture team.
Added 1 hour ago
Senior Advisor Onboarding & Transitions Specialist
Manulife
Winnipeg, MB · Halifax, NS · Burlington, ON · Waterloo, ON
Full-time
…existing advisors across Canada. This position reports to the Manager, Advisor Onboarding & Transitions and directly supports the initiatives being managed and the accompanying change…

Workers Compensation Board of Manitoba

Adjudicator

Winnipeg, MB, Canada

Pay: Annual Salary Range: $68,764 - $88,529
Job type: Full-time
Apply by: Oct 31, 2026
Posting language: English
Posted: Oct 1, 2026

Apply About employer

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Original job description

Job Summary (external)

Adjudicators play a pivotal role in the claims process, often serving as the initial point of contact for workers and employers during sensitive circumstances. They are tasked with creating a positive first impression by acknowledging reported injuries and gathering pertinent information necessary to make timely and well-communicated decisions. Through telephone and written correspondence, Adjudicators determine eligibility for compensation benefits and services, ensuring decisions are consistent with established policies and legislation.

We are seeking service-oriented, proactive, and results-driven professionals capable of thriving in a fast-paced environment. Utilizing a proactive claims management approach, Adjudicators make and communicate eligibility decisions promptly and consistently. They provide essential information to internal and external stakeholders regarding recovery and return-to-work processes, addressing the needs of workers and employers by actively listening, collecting and conveying relevant information, and clarifying rights, responsibilities, and obligations.

Job Duties

Determines which claims are acceptable and authorizes/denies entitlement to compensation on an ongoing basis; communicates the decision and rationale to injured workers, employers, representatives, and healthcare practitioners.

Gathers, assembles, reviews, develops, and assesses information and opinions through written correspondence, in-person meetings, and telephone to establish initial and ongoing entitlement to compensation.

Communicates with injured workers, employers, representatives, healthcare practitioners, witnesses, and other involved parties to obtain/provide information, respond to enquiries and explain decisions, in writing or verbally.

Gathers appropriate wage information and provides direction to Payment Assessors re: payment of a claim and duration.

Identifies claims where a pre-existing condition exists, establishes entitlement accordingly, and authorizes or denies cost relief to employers.

Manages and facilitates the overall claim process (ie. assessing, planning, implementing, coordinating, monitoring, evaluating and terminating) including Time Loss claims up to 8 weeks duration; Medical Treatment claims up to 14 weeks; Occupational Disease claims up to 8 weeks and Hearing Loss claims for the duration of the claim.

Acts as a primary contact for injured workers, employers, representatives, healthcare practitioners, and specialized service providers to ensure the coordinated management of claims through the recovery and return to work processes or other resolutions.

Facilities established protocols for potential stress/crisis situations including involvement with the Special Services Unit.

Implements Chiropractic and Physiotherapy Protocol by identifying the appropriate category and coverage period and notifies all parties in writing. Monitors no time loss claims involving physiotherapy or chiropractic treatment for up to 14 weeks from date of injury. Manages noise induced hearing loss claims for the entire duration of the claim.

Adjudicates Fatality claims and determines spousal and dependent’s entitlement on fatality claims and refers files to appropriate internal resources for ongoing management.

Delivers presentations or attends information/discussion sessions on behalf of the WCB with external stakeholders.

Provides service both independently, or in consultation with internal/external service providers, to injured workers by assessing and facilitating return to work on an individual basis. This includes development of a strategy to bring each claim to resolution.

Promotes and supports workplace-based disability management programs.

Initiates recovery of overpayments within guidelines.

Authorizes medical aid expenditures on files up to $25,000 and lump sum benefits related to fatalities up to $75,000 (spousal benefits) and makes recommendations of payments beyond their authorization limit to the Supervisor/Manager/Director.

Identifies claims where cost allocation/relief is appropriate per legislation and policy.

Gathers/assembles information requested, implements decisions and reviews information received from senior staff, the Review Office, Medical Review Panel, and Appeal Panel.

Ensures proper recording of claims involving inter-provincial and third party, as well as coding of all occupational disease claims.

Identifies and recommends improvements in service or system/policy changes related to adjudication and case management.

Performs other related duties as assigned.

Qualifications

Completion of a two (2) year diploma in a related discipline

Minimum three (3) years' experience in a similar environment making entitlement decisions based on a defined set of criteria (ie. policies, procedures, legislation, etc.) including client service experience

Proficiency in the use of personal computers and software in a Windows environment

Ability to obtain, assess and evaluate information to support claims decisions

Ability to interpret and apply provisions, policies, procedures and legislation

Ability to communicate effectively, both verbally and in writing

Ability to deliver presentations to external clients

Ability to work under pressure to tight deadlines while providing excellent client service in sometimes confrontational and sensitive situations

Ability to organize prioritize and prioritize workload

Ability to work independently and as part of a team

Knowledge of adjudicative, disability management, vocational rehabilitation, case management and workplace-based programs, policies, procedures and principles would be an asset

Knowledge of medical terminology/issues would be an asset

Ability to communicate proficiently in both official languages (English & French) is an asset, but is not required

Essential

Competencies (internal only):

Client Service Orientation

Judgment/Problem Solving

Analysis/Problem Assessment

Planning, Organizing and Follow Up

Very Important

Communication - Written and Verbal

Important

Teamwork

Persuasiveness

Impact

Additional Information (internal)

Up to 6 Permanent Positions

Developmental opportunities for those who do not meet the qualifications or are unsuccessful in the interview process may be available.

Successful applicants will be placed on a 6-month eligibility list that will be used to staff all permanent and term vacancies over this period. If you are on an existing eligibility list for this position, you will need to re-apply to be eligible for this new eligibility list.

You may be asked to demonstrate your ability through competency based interviewing and/or testing.

Screening decisions are based on information outlined in your resumé and cover letter. Your work performance must be satisfactory for your application to be considered. If applying for a term position or out of a term position, please note that article 10.09d of the Collective Agreement may apply.

Please note that this position is expected to begin in January 2027 with a 10 week training class. Hours of work during the training period are 8:30 a.m.-4:30 p.m. Participation in Compressed Work Week, Additional Day Off (ADO), or a Flexible Work Hours schedule will be suspended during a training class and no extended vacation time will be permitted.

The WCB recognizes that individuals may face barriers that hinder their full and equal participation in the workplace, and is committed to providing reasonable accommodation to all employees and candidates who are or may be disabled by one or more barriers in the workplace. Accommodations are available on request for candidates taking part in all aspects of the selection process.

Additional Information (external)

Watch our Video!

Up to 6 Permanent Positions

Annual Salary Range: $68,764 - $88,529

Start Date: January 2027

Formal Classroom Training Period: 10 weeks (Monday – Friday, 8:30 a.m. – 4:30 p.m.).

A criminal record check and education verification will be required for the successful candidate.

The WCB is committed to building a skilled, diverse workforce with equitable representation of Indigenous persons, visible minorities, persons with disabilities, women, 2SLGBTQ+ persons and members of other equity-seeking groups. Applicants are encouraged to indicate in their covering letter or resumé if they are a member of these groups.

The WCB recognizes that individuals may face barriers that hinder their full and equal participation in the workplace, and is committed to providing reasonable accommodation to all employees and candidates who are or may be disabled by one or more barriers in the workplace. Accommodations are available on request for candidates taking part in all aspects of the selection process.

Job Summary (internal)

The Adjudicator is responsible for adjudicating and managing Time Loss claims up to 8 weeks duration; Medical Treatment claims up to 14 weeks; Occupational Disease claims up to 8 weeks and Hearing Loss claims for the duration of the claim. As well, they are responsible for adjudicating Fatality claims.

Apply About employer

More about this job

Responsibilities

Adjudicate and manage workers’ compensation claims by gathering and assessing information, determining eligibility, authorizing or denying benefits, and communicating decisions to workers, employers, and other stakeholders. Coordinate recovery and return-to-work processes, manage claim-related services and payments within authorization limits, and support consistent application of policies and legislation.

Requirements

Requires a two-year diploma in a related discipline and at least three years of similar experience making entitlement decisions using defined criteria, including client service experience. Candidates must be able to assess information, interpret and apply policies and legislation, communicate effectively, deliver presentations, prioritize work, and perform independently and as part of a team; knowledge of disability management or medical terminology is an asset.

Skills

Claims Adjudication
Eligibility Assessment
Claims Management
Client Service
Decision-Making
Policy and Legislation Interpretation
Information Gathering and Assessment
Written and Verbal Communication
Case Management
Disability Management
Return-to-Work Planning
Conflict and Crisis Management
Workload Prioritization
Presentation Delivery
Teamwork
Medical Terminology

Visa sponsorship

Not detected in the job text

Keywords

Workers’ Compensation
Claims Adjudication
Claims Management
Entitlement Decisions
Compensation Benefits
Eligibility Assessment
Disability Management
Vocational Rehabilitation
Case Management
Return-To-Work
Workplace-Based Disability Management
Occupational Disease
Hearing Loss
Fatality Claims
Medical Treatment
Chiropractic Protocol
Physiotherapy Protocol
Cost Relief
Overpayment Recovery
Wage Information
Medical Aid Expenditures
Policy Interpretation
Legislation
Client Service
Stakeholder Communication
Windows Environment
Presentation Delivery

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