Accomplished Case Manager adept at handling high caseloads without sacrificing quality of decisions. Operates exceptionally well in high-pressure environments. Recommends best resources and courses of action to each injured person and their case.
Overview
22
22
years of professional experience
Work History
Case Management, Specialized Services
Workplace Safety and Insurance Board
02.2004 - Current
Communication with workplace parties and provide overview of the process and policies. Provide details of each parties expectations, such as compliance.
Effective listening: provide workplace parties opportunity to discuss the details in their case which resulted in the injury. Identify additional information that is required or outstanding information to adjudicate the case.
Request verbally or in writing any information that may be required; this could be required from injured person, employer, physicians or representatives.
Monitor and follow-up on information required; bi-weekly contact with workplace parties is documented on the file to ensure timeliness.
Consider and analyze information received to ensure accurate decision making.
Delivery of decisions verbally with workplace parties; which include PARD conversations. Providing details of objection rights along with procedural information
Issue workplace parties a detailed decision letter, which references appropriate policies considers and rationale.
Reconsiderations; reviewing initial decisions, information on file, identifying outstanding information and repeating process to gather and re-analyze. Followed by conversations and written decisions.
Provided case management services including referrals to community resources when needed.
Participated in training sessions on topics related to case management procedures.
Provided individualized case management to support and train new candidates.
Maintained accurate documentation of all case management activities.
Maintained organized records of case management activities.
Participated in regular team meetings discussing case management strategies.
Meet with co-workers or management to review cases or case conference complex cases.
Claims Registration
Workplace Safety and Insurance Board
05.2002 - 02.2004
Processed claims electronically using billing software programs.
Reviewed documentation prepared for daily completion, based on information determine if new injured person profile is required; if so input accurate information.
Details of the case are to be inputting, such as date injury, employer information and include description of documentation.
Contact workplace parties when required to ensure all information to register a case is obtained.
Priority desk: process documentations and case registration for fatalities; deliver documents to department for immediate action to be taken.
Education
High School Diploma -
Father Michael Goetz Secondary School
Mississauga, ON
Skills
Communication
Data Collection
Teamwork and Collaboration
Interpersonal Skills
Professional Demeanor
Attention to Detail
Written and verbal communication
Excellent Communication
Continuous Improvement
Policy Knowledge
Interviewing skills
Active Listening
Additional Details
Provided support in other departments, specifically handling the registration of Covid-19 specific illnesses and cases
Part of the Communication Management Framework
Goal Attainment Scaling training
Participated in the the Case Management Evolution Program
Letter Writing timestudy
SCRS Engagement table
Timeline
Case Management, Specialized Services
Workplace Safety and Insurance Board
02.2004 - Current
Claims Registration
Workplace Safety and Insurance Board
05.2002 - 02.2004
High School Diploma -
Father Michael Goetz Secondary School
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