Rating Advisor (Experience Rating Advisor)
Workplace Safety and Insurance Board
Toronto, ON
As primary point of contact, provide technical expertise and advice on all aspects of Rate Framework program specific to claims impact to rates and Experience Rating Programs.

Review claims cost changes to determine impacts to employers’ rates and initiate Premium Rate Calculator to obtain potential rate changes. Communicate decision in writing to employer.

Render decision on claim or account retroactive changes pertaining to Experience Rating Programs (MAP; CAD7; NEER)

Major Duties & Responsibilities

1. Manage assigned caseload of employer accounts via multiple channels by:

Interpreting, applying and explaining sections of the Workplace Safety and Insurance Act and policies relating to Experience Rating and Rate Framework specifically relating to Claims;
Review and validate claim cost reallocation data in order to initiate PRC (Premium Rate Calculator) to determine if employers are eligible for premium price adjustments and if allowable, PRC will adjust premium to current or prior years
Reviewing claim decisions on ACES Claim Cost Reallocation tool, clarifying with Case Manager in case of discrepancies or decisions not implemented (i.e. third party transfers, SIEF, various types of benefits such as LOE, health care, pensions)
Calculating and completing simple/complex manual Experience Rating adjustments
Preparing detailed documentation including recommendation sheets for authorization relating to PRC and Experience Rating adjustments for employer file as required;
Communicating and notifying appropriate parties verbally and in writing of decision rendered explaining rationale for the decision, application of policies and sections of the Act related to specific employer account.
2. Manage objections to l Experience Rating Programs and Premium Rate calculations impacting claims decisions by:

Reviewing WSIAT/ Appeals decision to determine whether reconsideration is warranted;
If decision being upheld, informing parties of the right to appeal and explaining the appeals process;
Processing objection by arranging access to claim files if necessary, updating employer file and referring to Appeals Branch;
Implementing Appeals/WSIAT decisions specific to Experience Rating programs and PRC with claims, within specified timeframes.
3. Provide customized presentation/workshops to employers as it relates to Premium Rate calculations and claims impacting their account. .

4. Prepare claim cost estimates (What if scenarios) for employers or internal staff (RTW) , to assist and influence employer outcomes in early and safe return to work practices by:

Providing financial impact projections by creating customized scenarios based on actual or hypothetical situations demonstrating the financial impact of workplace accidents and delayed return to work for employers, their representatives and WSIB staff;
Providing financial impacts of multi-account organizations with respect to mergers/amalgamations and other complex issues.
5. Review and respond to all experience rating and Rate Framework enquiries received via multiple channels such as telephone, email and mail, Claim Transfer Memos (CTM) through ACES from both internal and external clients. Enquiries addressed may be related to Claims issues, transaction statements for billing and accident cost statements.

6. Perform other related duties as assigned or required, such as:

Undertaking special projects and assignments, individually or as part of the team, to research, analyze and compile information related Experience Rating and claims related Rate calculations
Job Requirements

University completion at undergraduate level.
Total of five years experience. Two years prior experience in accounting, business, customer service, claims, communication, finance and/or WSIB revenue/accounts. Three years experience on the job to reach full working level.

As a precondition of employment, the WSIB will require a prospective candidate to undergo a criminal records name check prior to or at any time following hire.

To apply for this position, please submit your application by the closing date noted above.

We appreciate the interest of all candidates. Due to the volumes of applications we receive, we are only able to contact candidates that are selected to move forward in the recruitment process. The WSIB is an equal opportunity employer.

The WSIB is an equal opportunity employer and provides accommodation for job applicants in accordance with the Human Rights Code and the Accessibility for Ontarians with Disabilities Act. If you are an individual with a disability and you need accommodation in order to apply for this position, please contact talentacquisitioncentre@wsib.on.ca. If you are invited to participate in the assessment process, please provide your accommodation needs at that time. Please be advised that you may be required to provide medical documentation to the WSIB’s Corporate Health Department so that appropriate accommodation can be provided to you throughout the recruitment process.

Employees of the WSIB have important ethical responsibilities, including the obligation to place the public interest above personal interests. Job applicants are therefore required to disclose any circumstance that could result in a real, potential or perceived conflict of interest. These may include: political activity, directorship or other outside employment and certain personal relationships (e.g. with existing WSIB employees, clients and/or stakeholders). Please contact TAC if you have any questions about conflict of interest obligations and/ or how to make a disclosure.

Privacy Statement

Personal information will be collected from your resume, application, cover letter and references under the authority of the Workplace Safety and Insurance Act, 1997 and will be used by the Talent Acquisition Centre and WSIB hiring parties to assess/validate your qualifications and/or determine if you meet the requirements of vacant positions and/or gather information relevant for recruitment purposes. If you have questions or concerns regarding the collection and use of your personal information, contact the WSIB Privacy Office, 200 Front Street West, Toronto, ON, M5V 3J1 or 416-344-5323 or 1-800-387-0750 extension 5323. Be advised that information related to application status will not be provided.