24/7 OEMS is seeking to fill a Claims Management and Return to Work Specialist role. This position is full-time, working remotely from home.

Position Overview

The Claims Manager and RTW Specialist (CM) will be responsible for providing comprehensive disability case management services to multiple clients primarily in the mining industry.

The CM will work collaboratively with employees, employers, medical professionals, insurers, and workers’ compensation boards to identify barriers, determine fitness for work, and facilitate safe, timely, and sustainable return to work plans. The CM will support the development and integration of disability management policies, procedures, and documentation aligned with industry best practice and privacy legislation.

Key Responsibilities

• Coordinate and manage disability cases for both occupational and non-occupational claims.
• Develop, implement, and monitor individualized return-to-work and modified work plans.
• Determine fitness to work and claim eligibility in consultation with Deputy Medical Directors and onsite medical personnel, where applicable.
• Review medical documentation, claim forms, investigation reports, and functional abilities information to support decision-making.
• Coordinate referrals for medical clarification, functional abilities assessments, and independent medical examinations as required.
• Act as the primary liaison between employees, employers, human resources, management, medical providers, insurers, and workers’ compensation boards.
• Clearly explain the disability case management process, including roles and responsibilities of all stakeholders.
• Provide concise, professional written and verbal communication within applicable privacy legislation.
• Collaborate with HR and business representatives to review claim status and RTW timelines.
• Receive, process, and maintain medical absence and RTW documentation in compliance with privacy legislation.
• Maintain accurate and confidential medical records using electronic medical record systems.
• The CM role will support other projects such as wellness initiatives and health promotion as required.
• Some flexibility in work hours may be needed to accommodate time zones and occasional travel to site may be required

Education & Experience -Required Qualifications

• Completion of a Nursing, Occupational Health, Physician Assistant, or related healthcare program and/or relevant experience in disability management within an occupational health environment.
• Minimum 5 years of experience in disability claims management, adjudication, or a combination of equivalent experience and specialized education.
• Strong knowledge of group benefits, disability products, and experience working with insurance carriers, Third-Party Administrators and Workers’ Compensation Boards.
• Proficiency with Microsoft Office (Word, Excel, Outlook) and the ability to work with electronic medical record systems (e.g., Cority).

Preferred / Asset Qualifications

• College or university degree, certificate, or continuing education toward Occupational Health Nursing (OHN) or similar designation.
• Experience working with unionized workforces.
• Demonstrated participation in ongoing professional growth and development activities.
• Ability to manage complex and sensitive cases with professionalism and integrity.
• Strong interpersonal, communication, and customer service skills.

Compensation

• Compensation will be determined by relevant experience and qualifications – ranging $90000- $108000 per annum.
• Benefits: Employer sponsored benefits, Long-term disability paid by employee

Application review process

We value a fair, human‑centered recruitment process, and every application matters to us. All resumes and applications submitted to 24/7 Occupational & Emergency Medicine Solutions Inc. (24/7 OEMS) are reviewed by members of the HR team. Artificial intelligence is not used in the application review, screening, selection, or hiring process.

Applications will be reviewed, and interviews scheduled on a rolling basis.

Equity, Inclusion, and Diversity

24/7 OEMS is committed to a recruitment process and workplace culture of respect, inclusion, and diversity. We encourage applications from members of groups with historical and/or current barriers to equity.

Application Status

We thank all applicants for their interest in 24/7 OEMS; however, only those with the required qualifications and experience will be considered and only those selected for an interview will be contacted.