Job Details
MEDICAL ADJUDICATOR (5473)

Job Posting

MEDICAL ADJUDICATOR
Organization:  IWA-Forest Industry Pension & LTD Plans
Province:  British Columbia
Location:  Burnaby
Job Start Date: 
Salary: 
Description:

WHO WE ARE
Established to support Canadian forestry workers and their families, the IWA–Forest Industry Pension and LTD Plans provide pension and disability benefits and rehabilitation services to members. The plans are jointly trusteed by union and industry appointees.

With over $4 billion in assets, 450+ participating employers and 70,000 members, the IWA–Forest Industry Pension Plan is one of Canada’s top 100 pension funds and is one of the top three private sector pension funds in BC. The IWA–Forest Industry LTD Plan was created almost a decade after the pension plan, and now serves over 12,000 members across western Canada.

Both plans are administered by the Plan Office, which manages plan assets and benefits. At the Plan Office, our members are our number one priority, and we take pride in offering exceptional service—whether we’re dealing with members, participating employers, union locals or each other.

WE OFFER

  • Full range of benefits include vision, extended health, dental, Health Spending Account
  • Defined contribution pension plan
  • Company sponsored staff appreciation day, Christmas party and social events
  • Three weeks’ vacation to start
  • Transit/parking subsidy
  • Central Burnaby location close to transit
  • Plus much more….

WHO YOU ARE

You will adjudicate claims for both the IWA-Forest Industry LTD Plan and the IWA-Forest Industry Pension Plan.  This will include, but not limited to:

  • Review claims and determine what medical information is required
  • Assess claims eligibility
  • Contact doctors, psychologist and other health professionals as require
  • Determine eligibility, continuation, and cessation of disability benefits
  • Develop and implement intervention plans as required
  • Calculate overpayments
  • Compose and provide Appeal Summaries as required

The Medical Adjudicator will also recommend rehabilitation of members which will include evaluation medical information to assess member’s work potential and refer for rehabilitation intervention.  This position will also determine if the member should apply for Canada Pension Plan Disability.

Requirements:

YOU HAVE/ARE

  • Bachelor’s degree in related medical or health science with 5 to 7 years of experience with medical adjudication of disability files; or an equivalent combination of education and experience will be considered
  • Ability to listen and work together to accomplish the same goal
  • Knowledge of the forest industry is an asset
  • General knowledge of insurance legislation, related government legislation and legal jurisprudence regarding long term disability claims
  • Excellent verbal and written communication skills
  • Strong organization skills, ability to prioritize work effectively to meet deadlines
  • Excellent problem-solving skills
  • Strong customer service skills
  • A professional and respectful approach.  Must display courtesy, discretion, and understanding in dealing with confidential matters and member situations.
  • Proficient with MS Office, including Word, Excel, Outlook and Teams
  • Proficient in the of use computer software applications including scanning technology

ADDITIONAL INFORMATION

The IWA—Forest Industry Pension and LTD Plans are responsible for the management and protection of large amounts of confidential information. All employees are expected to understand the requirements of and act in accordance with provincial privacy laws as well as to adhere to internal controls and policies to ensure confidential information is not revealed to or distributed or discussed with anyone other than as required to perform the duties of the position.

We thank you for your application; however, only successful applicants will be contacted.

HOW TO APPLY

Please forward your resume with cover letter to [email protected] before Friday, February 3, 2023.

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