Senior Workers Compensation Case Manager

Our Story

At Alight, we believe a company’s success starts with its people. Alight embraces values that come directly from our people – purposeful, human, united and growth-minded – reflecting our inclusive culture and promise that our clients expect. We are passionate about connecting purpose with impact. Alight empowers clients to build a healthier and more financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, navigation, and absence management.

Our Benefits

With a comprehensive total rewards package, Alight offers programs and plans that support your mind, body, wallet, and life. Benefits include health, dental and vision coverages starting Day One. Additionally, Alight colleagues enjoy wellbeing programs, retirement plans with contribution matching, generous time off, parental leave, continuing education, and career growth opportunities – all within a thriving global organization.

Flexible Working

So that you can be your best at work and home, we consider flexible working arrangements wherever possible. Alight has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 6 years in a row.

Great Place to Work

Thanks to the work of every colleague, Alight has received multiple awards of recognition including “Great Place to Work” for the past 7 years and Fortune’s “Best Companies to Work For.” To learn more about our company culture and awards Click Here.

We invite you to join our team! Learn more at careers.alight.com.

About the Role

The Senior Workers’ Compensation Case Manager is responsible for managing complex and long-duration workers’ compensation claims, with a focus on achieving timely, sustainable return-to-work outcomes while minimizing time loss and claim costs. This role serves as a subject matter expert in provincial workers’ compensation legislation, policies, procedures, and Workers’ Compensation Board (WCB) practices. The Senior Case Manager assesses barriers to successful return to work, critically analyzes WCB decisions, and partners with clients, injured workers, WCB representatives, healthcare providers, and other stakeholders to develop and implement appropriate case management, rehabilitation, and return-to-work strategies.

Responsibilities

• Managing complex, long-term and workplace injury claims, ensuring a clear path toward rehabilitation, reintegration, return to work, or an appropriate alternative plan.
• Assessing medical, functional, workplace, and other barriers that may impact a successful and timely return to work and develop strategies to address identified barriers.
• Developing, implementing, coordinating, and monitoring return-to-work and rehabilitation strategies in collaboration with clients, injured workers, WCBs, healthcare providers, and other stakeholders.
• Liaising directly with provincial WCBs regarding claim management, adjudication, return-to-work planning, and claim resolution.
• Interpreting and applying provincial workers’ compensation legislation, policies, procedures, and practices to effectively manage claims and proactively pursue resolution or closure.
• Conducting critical reviews of WCB decisions to assess alignment with applicable legislation, policies, and procedures. Identifying potential appeal or objection issues, draft letters of objection, and support or pursue appropriate appeal strategies.
• Identifying and pursuing cost mitigation opportunities, including cost relief and other applicable strategies. Providing earnings information and other claim-related documentation when required.
• Facilitating appropriate third-party interventions, including Functional Capacity Evaluations (FCEs), Independent Medical Evaluations (IMEs), and other rehabilitation or medical assessments.
• Proactively pursuing claim progression and closure while balancing appropriate care, successful return-to-work outcomes, legislative requirements, and client objectives.

Requirements

• Ontario Paralegal or Lawyer license required.
• Minimum of 5 years of experience in workers’ compensation claims management, including experience managing complex and/or long-duration claims.
• Be a subject matter expertise across Provincial Workers’ Compensation Boards, including applicable workers’ compensation statutes, legislation, policies, procedures, and practices.
• Demonstrate experience with return-to-work planning, rehabilitation strategies, claims resolution, and cost mitigation.
• Have knowledge of workplace health and safety practices and workers’ compensation experience-rating principles.
• Demonstrate analytical and critical-thinking skills, including the ability to evaluate WCB decisions and identify potential appeal, objection, or cost-relief opportunities.
• Have excellent written and verbal communication skills with the ability to communicate effectively with clients, injured workers, WCB representatives, healthcare professionals, and other stakeholders.
• Be able to manage competing priorities and complex cases in a fast-paced, deadline-driven environment. Display great initiative and demonstrated ability to work independently while collaborating effectively across teams.
• Have proficiency with Microsoft Word, Excel, and Outlook.

• Post-secondary education in a related discipline or equivalent experience. Having Human Resources, Health and Safety, Disability Management, Insurance, or another relevant professional experience is preferred.

Application and Interview

By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies. Background checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. You will be notified during the hiring process which checks are required by the position.

Alight requires all virtual interviews to be conducted on video. Please be aware that Alight is a camera-on culture and may require occasional travel to one of our physical office locations.

Our commitment to Inclusion

We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful.

At Alight, we welcome and embrace all individuals, regardless of their background, and are dedicated to creating a culture that enables every employee to thrive. Join us in building a brighter, more inclusive future.

As part of this commitment, Alight will ensure that people with disabilities are provided reasonable accommodation for the hiring process. If reasonable accommodation is needed, please contact alightcareers@alight.com.

Equal Opportunity Policy Statement

Alight is an Equal Employment Opportunity employer and does not discriminate against anyone based on sex, race, color, religion, creed, national origin, ancestry, age, physical or mental disability, medical condition, pregnancy, marital or domestic partner status, citizenship, military or veteran status, sexual orientation, gender, gender identity or expression, genetic information, or any other legally protected characteristics or conduct covered by federal, state, or local law. In addition, we take affirmative action to employ disabled persons, disabled veterans, and other covered veterans.

Alight provides reasonable accommodation to the known limitations of otherwise qualified employees and applicants for employment with disabilities and sincerely held religious beliefs, practices and observances, unless doing so would result in undue hardship. Applicants for employment may request reasonable accommodations/modifications by contacting their recruiter.

Authorization to work in the Employing Country

Applicants for employment in the country in which they are applying (Employing Country) must have work authorization that does not, now or in the future, require sponsorship of a visa for employment authorization in the Employing Country and with Alight.

Note, this job description does not restrict management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.

We offer you a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization.

Salary Pay Range

Minimum :

Maximum :

Pay Transparency Statement: Alight considers a variety of factors in determining whether to extend an offer of employment and in setting the appropriate compensation level, including, but not limited to, a candidate’s experience, education, certification/credentials, market data, internal equity, and geography. Alight makes these decisions on an individualized, non-discriminatory basis. Bonus and/or incentive eligibility are determined by role and level.

DISCLAIMER:

Nothing in this job description restricts management's right to assign or reassign duties and responsibilities of this job to other entities; including but not limited to subsidiaries, partners, or purchasers of Alight business units.