JOB INFORMATION
Requisition ID: 11651
Number of Vacancies: 1
Department: Human Resources (20000040) - Occ. Health & Claims Mgmt (30000063)
Salary Information: $77,259.00 - $96,587.40
Pay Scale Group: 7SA
Employment Type: Temporary Until April 2027
Weekly Hours: 35, Off Days: Saturday/Sunday Shift: Day
Posted On: August 14, 2025
Last Day to Apply: August 28, 2025

The Toronto Transit Commission (TTC), North America's third largest transit system and recognized as one of the top places to work in the GTA has introduced its new 2024-2028 TTC Corporate Plan - Moving Toronto, Connecting Communities which continues the TTC’s legacy of delivering service to hundreds of millions of customers a year. The TTC’s new vision and mission statements also help promote the many environmental, social equity and economic benefits that the TTC provides:

Vision: Moving Toronto towards a more equitable, sustainable, and prosperous future.

Mission: To serve the needs of transit riders by providing a safe, reliable, efficient, and accessible mass public transit service through a seamless integrated network to create access to opportunity for everyone.

The full Plan can be viewed on ttc.ca.

Career Opportunity

Reporting to the Manager, Occupational Health, the incumbent is responsible for performing various duties relating to the claims adjudication, administration and processing of employee Workplace Safety & Insurance Board (WSIB) claims and Short-Term Disability (STD) claims and Workplace Safety and Insurance Board (WSIB claims where appropriate.

What You Will Do

• You will process and manage Short-Term Disability claims in accordance with established policies, procedures and the: determine eligibility in accordance with the Short-Term Disability Provisions; input and maintain claim information; investigate claim/claimant history; complete verify and submit Employer Reports including initial objections where appropriate; and manage the claim files
• You will adjudicate and process STD claims in accordance with established policies and procedures, applicable collective agreements and the disability claims management guidelines; determine claim eligibility; advise employees regarding claim decisions; ensure processing/payment of eligible claims within weekly deadlines; manage claim files; and input, monitor and update claim information into the appropriate claims system
• Your role will include proactively collecting information from stakeholders including but not limited to workplace parties and healthcare providers required for eligibility decisions
• You will be expected to make eligibility decisions quickly and accurately and communicate them, verbally and in writing
• You will support workplace parties in their return to work (RTW) efforts by sharing any available information about the workers' capabilities and/or restrictions/limitations as required, and when appropriate, refer claims to appropriate internal resources i.e. medical consultants for their expertise in order to support claim adjudication and decision
• You will attempt to prevent or resolve disputes, handle requests for reconsideration and if unresolved, refer or escalate to Manager while Provide assistance and respond to inquiries; communicate with staff, hourly-rated employees, supervisors/ management, union representatives and doctors regarding claim status, payment of benefits/denied claims; forward information to the Disability Management Specialist for complex cases; and prepares a variety of correspondence, reports, statistics and other materials
• You will perform other related duties as assigned or required such as participation in the development and implementation of business plans and projects
• You will be expected to demonstrate behaviours that support diversity, inclusion, and a respectful work and service environment that is free from discrimination and harassment.
• You will help to remove barriers and accommodate employees and customers (within their area of responsibility) in accordance with TTC’s commitments and obligations under the Ontario Human Rights Code (OHRC) and Related Orders, the Accessibility for Ontarians with Disabilities Act (AODA), and TTC’s policies
• You will be required to participate in the TTC Customer Service Ambassador Program

What Qualifications Do You Bring?

• University Degree or College Diploma in a related discipline and relevant work experience in administration of income replacement plans/programs, claims assessment/adjudication, monitoring and investigation, or a combination of education, training and experience deemed to be equivalent
• Good knowledge of employee benefits administration practices and claims management, assessment and review procedures; and familiarity with medical terminology, including diagnosis, treatment plans and symptoms
• Must have or quickly develop knowledge of claims adjudication principles including short-term disability, the Workplace Safety & Insurance Act, and administrative practices and procedures inherent to WSIB and claims administration/adjudication
• Knowledge of health information protection legislation (PHIPA) for the use and disclosure of medical information
• Sound knowledge of modern office administration, practices, procedures and equipment
• Sound judgement; good interpersonal and effective oral and written communication skills to deal with a variety of contacts; and good organizational skills to prioritize work and meet established deadlines
• Proficient in the use of PCs and software applications related to the work (Word, Excel, databases, claims management systems, etc.)
• Solid keyboarding skills and attention to detail for accurate transferring of information from a variety of correspondence
• Must have or quickly develop knowledge of TTC/departmental structure, policies, procedures and relevant sections of the Collective Agreements applicable to the work performed as well as a working knowledge of policies, procedures, programs and initiatives relating to Occupational Health Services (Employment Insurance, CPP, etc.)
• Must have or rapidly acquire a comprehensive knowledge of the Ontario Human Rights Code and Related Orders including disability accommodation and accessibility requirements pertaining to passengers and employees.

What Skills Do You Bring?

• Maintain documentation and historical records
• Use office technology, software and applications
• Communicate in a variety of mediums
• Counsel, advise, and coach in the relevant discipline
• Understand and apply administrative policies, processes, and procedures

What We Offer

• Commitment to creating a diverse, equitable and inclusive culture that promotes a sense of belonging and represents and reflects the needs of the communities we serve.
• A flexible, hybrid work approach that allows colleagues to find balance between their professional and personal lives and making the most of the benefits of working remotely and purpose-driven in-person collaboration opportunities.
• Support for professional development opportunities for all colleagues through a broad range of learning programs that include in-person and online training, leadership development, and support for colleagues’ well-being.

Commitment to EDI

The TTC is committed to upholding the values of equity, diversity, anti-racism and inclusion in the delivery of its services and in its workplaces. The TTC is committed to fostering a diverse workforce that is representative of the communities it serves at all levels of the organization, and supports an inclusive environment where diverse employee and community perspectives and experiences bring value to the organization. The TTC encourages applications from all applicants, including members of groups with historical and/or current barriers to equity, including but not limited to, Indigenous, Black and racialized groups, people with disabilities, women and people from the LGBTQIA+ community. The TTC values and supports an inclusive and barrier-free recruitment and selection process. Accommodations for applicants are available upon request throughout the recruitment and selection process, including for those who identify as having a disability. Please contact Talent Management at (416) 393-4570. Any information received related to an accommodation will be addressed confidentially.

The TTC’s policy prohibits relatives of current TTC employees from being hired, assigned, transferred or promoted into positions, where there is a conflict of interest due to a relationship. Should you be selected for an interview, you will be required to disclose the name, relationship and position of any relative who is a current TTC employee.

We thank all applicants for their interest but advise only those selected for an interview will be contacted.