Jennifer (Dasilva) McGregor

Preliminary review of new appeal submissions within the board,

Initial contact with appellant and respondent, to discuss and review appeal matter(s).

Attempt resolution of appeal matters.

Forward matters to the Dispute Resolution and Decision Review body, when applicable.

Provide recommendations for early resolution opportunities at Customer Service level, when applicable.

Complete associated system screens.

• Disability management, work with all participants toward a safe and efficient return to work and life.
• Monitor and manage care plans, facilitating benefits and services in alignment with policy and procedure.
• Assess and overcome barriers to care plans.
• Adjust care plan and strategies as needed based on evolving circumstances or new information.
• Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
• Coordinate and develop vocational plans.

• Review new claim submissions for initial entitlement decisions in alignment with policy and procedure.
• Gather and document relevant information.
• Coordinate early return to work plans, working with all participants towards a safe and efficient return to work.
• Review and facilitate early treatment.
• Resolve claims, when appropriate.
• Prepare for claim transfer to case management, when appropriate.

• Support Case Management teams through monitoring and management of claim files.
• Review entitlement of certain benefits, including Permanent Clinical Impairment.
• Communicate with participants regarding claim updates.
• Complete periodic benefit reviews, including wage loss reviews.

• Provide customer service by actively listening to inquiries and offering personalized solutions.
• Strive to provide first call resolution.
• Direct calls to appropriate departments or contacts within the board.
• Document phone calls to file.
• Navigate multiple software applications simultaneously, ensuring accuracy and efficiency in handling customer inquiries.

• Manage accounts receivable and accounts payable.
• Set up and updated Excel spreadsheets to track financial data.
• Input financial data and produced corresponding reports.
• Complete accurate bank reconciliations, identifying errors and rectifying any discrepancies promptly.
• Assessed data and information to verify entry, calculation, and billing code accuracy.
• Communicate with internal and external account participants.