Claims manager Jobs in Toronto, ON

Job Description

How You’ll Make an Impact:

The Claims Manager manages the end-to-end administration of occupational injury, illness, and disability claims in accordance with provincially regulated requirements. This role includes assessing claim eligibility, overseeing reporting and objections where appropriate, participating in appeals as the employer representative, and supporting recovery and timely return-to-work outcomes.

The role ensures compliance with workers’ compensation legislation, human rights obligations, privacy requirements, and internal policies. Acting as a key point of contact for employees, leaders, healthcare providers, and external agencies, the Claims Manager balances employee well-being with operational and financial considerations. This role contributes to reducing claim duration, facilitating effective accommodations, and improving overall employee outcomes. This is an individual contributor role with no direct people management responsibilities.

As Claims Manager, you will:

Claims Reporting, Assessment & Administration

• Gather and review documentation in accordance with incident management processes
• Determine claim eligibility and submit reports to the applicable Workers’ Compensation Board
• Set up and maintain electronic claim files from initiation through to closure
• Ensure accuracy, completeness, and integrity of all claim-related data
• Review and reconcile monthly claim cost statements; investigate and resolve discrepancies

Return to Work & Accommodation Coordination

• Collaborate with operational leaders to support modified work and return-to-work (RTW) plans
• Liaise with Workers’ Compensation Boards and treatment providers, as required
• Coordinate and participate in RTW meetings to facilitate safe and timely employee reintegration

Legislative & Policy Compliance

• Monitor changes in legislation and policy impacting occupational injury and disability management
• Provide guidance and education to operational teams on updates affecting reporting and RTW practices

Stakeholder Communication & Liaison

• Serve as a primary point of contact for internal stakeholders and external partners, including insurers and medical providers
• Maintain clear, consistent communication to support effective claim management and resolution

Objection, Cost Relief & Appeals Support

• Prepare and submit objection letters and cost relief applications when appropriate
• Represent the employer in second-level (Review Division) and third-level (Tribunal) appeals, as required

Continuous Improvement & Education

• Participate in industry groups, professional associations, and educational opportunities
• Stay current on trends and best practices in safety, disability management, and HR to enhance organizational outcomes

Qualifications

What You’ll Need to Succeed:

• Post-secondary education in Human Resources, Occupational Health, Nursing, Kinesiology, Business Administration, or a related field

• 3+ years of experience in occupational claims management, disability case management, workers’ compensation, or absence management within a provincially regulated Canadian environment

• Strong knowledge of workers’ compensation legislation, human rights and duty to accommodate, privacy legislation, and occupational health and safety standards

• Experience managing end-to-end claims, including eligibility assessment, reporting, file management, and cost monitoring

• Ability to coordinate return-to-work and accommodation plans with internal stakeholders, healthcare providers, and external agencies

• Experience preparing objections, cost relief applications, and participating in appeals is an asset

• Proficiency in claims management systems, HRIS platforms, and Microsoft Office (Word, Excel, Outlook)

• Ability to interpret medical documentation, functional abilities forms, and return-to-work restrictions

• Excellent communication, organizational, problem-solving, and decision-making skills

• Strong attention to detail and ability to maintain accurate, confidential records

• Ability to manage sensitive and emotionally complex situations with professionalism and discretion

• Ability to manage a portfolio of claims across multiple sites and employee groups

• Minimal travel requirements (approximately 5–10% annually)

• Disability management or claims-related certification (e.g., CDMP) is an asset

• French proficiency is an asset

Additional Information

What Makes Sodexo Different:

Working with Sodexo is more than a job; it’s a chance to be part of something greater because we believe our everyday actions have a big impact. You belong in a company that allows you to act with purpose and thrive in your own way. In addition, we offer:

• Flexible work environment
• Competitive compensation & great employee benefits
• Training and development programs
• Countless opportunities for growth
• Corporate responsibility & sustainability
• An award-winning employer for Sustainability, Diversity & Inclusion, Corporate Social Responsibility, and much more. View Sodexo’s latest awards here
• And so much more!

Sodexo is committed to Employment Equity and Diversity. We do not discriminate against any employee or applicant for employment because of national origin, race, religion, ethnic group, age, disability, gender, sexual preference, sexual or gender identity, status as a veteran or any other federal, provincial or local protected class.

We welcome and encourage applications from people with disabilities. Accommodation is available on request from candidates taking part in all aspects of the selection process.

Sodexo is committed to providing a safe and healthy working environment for our team members, customers, clients, contractors, business partners, guests, and members of the public with whom we regularly interact. We require that all new hires in hospitals, long term care facilities, and senior homes to be fully vaccinated against COVID-19 and may require any other new hires to be fully vaccinated based on the location and scope of their employment.

Thank you for your interest in Sodexo.

Please note that only those candidates under consideration will be contacted.

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