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Added 1 hour ago
MD
Senior Manager of Policy and Regulation-State Prog Admin Supv Prin
Minnesota Direct Care and Treatment
Saint-Paul, NB · St.-Paul, NB
- Full-time
Working Title: Senior Manager of Policy and Regulation
Added 4 hours ago
TH
Project Manager| Temporary Full-Time|2085 Hurontario -CVH Dpt IS PMO
Trillium Health Partners
ON · ON, Canada
- Full-time
Reporting to the Manager PMO & Digital Planning this position plays an integral role in the successful delivery of Information & Digital Services projects within THP. The Project Manager…
Added 8 hours ago
MC
Senior Marketing Manager
MMC Corporate
Toronto, ON
- Other
As part of Marsh People and Investments and Marsh Risk in Canada, the Senior Marketing Manager is responsible for shaping and executing the marketing strategy for Marsh across these…
Added 10 hours ago
Manager, Product Analytics
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Toronto, ON
The Manager, Product Analytics is a senior analytics professional within the Business Intelligence organization, dedicated to supporting the Product Management team and its stakeholders…
Added 12 hours ago
Manager, People Relations
Talent Acquisition Team at Westland Insurance. Text reply only.
Surrey, BC
We’re searching for a Manager, People Relations. Are you searching for new possibilities?
Added 12 hours ago
A
Technology Strategy & Transformation Manager
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Toronto, ON
- Full-time
Drive business development by architecting and developing proposals and SOWs with the support of a Senior Manager
Added 14 hours ago
AU
Undergraduate Academic Program Advisor, Faculty of Science and Technology
Athabasca University
Athabasca, AB
- $48,621.92 to $79,714.45 USD / year
- Full-time
…flexible, online and accessible learning. With an inclusive Senior Leadership Team dedicated to empowering every team member to contribute, learn and thrive, AU stands poised for an…
Added 15 hours ago
A
Project Manager
Article
Vancouver, BC
- $92,000 to $107,000 CAD / year
- Full-time
…meaningful problems. This is where you come in, as a Project Manager, you'll drive a variety of high-impact operational and investment projects across Article, from product…
Added 17 hours ago
GO
Placement Specialist
Government of Manitoba
Winnipeg, MB
- Full-time
…placement processes by working with employees, departments, unions, Case Managers, the Senior Case Manager for coordination purposes, and other partners to identify and implement timely,…
Added 18 hours ago
TW
Senior Manager, Planning
The Warrington Group Inc.
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- Full-time
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Added 18 hours ago
M
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- Contract
with Disability Act (AODA) and related regulations and standards.
Added 18 hours ago
Director OHS and Disability Management
Government of Alberta
Calgary, AB
Senior leadership experience in occupational health and safety, disability or abilities management, or related workforce systems in a complex environment.
Added 18 hours ago
AC
Senior Financial Analyst – FP&A, Fuel
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- Internship
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Added 20 hours ago
KG
Manager, TMF and Earthworks Area
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- Full-time
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Added 22 hours ago
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Added 22 hours ago
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Added 23 hours ago
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Director, Strategic Business Development & Enterprise Sales
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- Full-time
As we continue to grow our presence in Canada, we are looking for a senior business development professional who can help establish Objectway as a trusted strategic partner to Canada's…
Added 1 day ago
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Added 1 day ago
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Added 2 days ago
Senior Specialist Labour Relations
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Added 2 days ago
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Manager, Business Development - Canada
ReVisionz
Remote, Canada
- Full-time
- Remote
The Manager, Business Development generates new business for ReVisionz with owner-operators across North America, opening new accounts and winning new work with existing clients across the…
Added 2 days ago
R
Manager, Business Development - Canada
ReVisionz
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The Manager, Business Development generates new business for ReVisionz with owner-operators across North America, opening new accounts and winning new work with existing clients across the…

Workers Compensation Board of Manitoba

Adjudicator

Winnipeg, MB, Canada

Annual Salary Range: $68,764 - $88,529 · Full-time

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Job details

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

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.

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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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