Payment Specialist; On Demand

About the Workplace Safety And Insurance Board (WSIB)

We’re here to help. When an injury or illness happens on the job, we move quickly to provide wage‑loss benefits, medical coverage and support to help people get back to work. Funded by businesses, we also provide no‑fault collective liability insurance and access to industry‑specific health and safety information. We are one of the largest insurance organisations in North America, covering over five million people in more than 300,000 workplaces across Ontario.

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• Explore many career paths and follow your passion
• Continuously learn and grow professionally
• Be recognized for the great work you do
• Participate in programs that support your health and wellbeing

We anticipate bilingual (French & English) and unilingual opportunities in the following office locations:

• Hamilton – Unilingual
• Hamilton – Bilingual
• Kingston – Unilingual
• Kingston – Bilingual
• London – Unilingual
• London – Bilingual
• Ottawa – Unilingual
• Ottawa – Bilingual
• Toronto – Unilingual
• Toronto – Bilingual
• Waterloo – Unilingual
• Waterloo – Bilingual

This is a temporary opportunity for up to 8 months in duration. Hourly rate: $39.97 per hour.

Hours:

0-14.5 hours per week.

As a member of a provincial team, review and assess approved claims for wage replacement and related benefits. Use your knowledge of legislation, operational policies, and guidelines to determine, calculate, and process benefits accurately and on time. This includes reaching out to workplace parties and case owners to request or clarify earnings information. Support case managers and workplace parties by explaining complex benefit decisions and their results.

Decide if a Long‑Term Rate (LTR) recalculation is needed, request and review earnings details, calculate benefit rates, communicate your decisions, and reconsider any objections, all according to operational policy.

• Validate and process benefit payments
• Check the accuracy of payment authorizations from case owners or through eAdjudication.
• Determine the correct earnings basis using current and previous legislation and operational policies before making payments in the WSIB systems.
• Contact workplace parties to gather or confirm information such as earnings, lost time, and modified duties. Document all information to calculate and process Loss of Earnings (LOE) benefits correctly.
• Make sure claims are sent to the right department and assigned the correct follow‑up actions, based on the Return to Work (RTW) scenario.
• Review and cross‑check claim documents to ensure enough information is available before processing payments.
• Set suitable temporary rates and request further earnings information when needed.
• Work with case owners to decide on payment actions, returning files for more action if required and documenting all instructions.
• Consult your manager for complicated payment issues, such as manual cheques or unusual cases.
• Decide if a Long‑Term Rate (LTR) recalculation is needed and request the right earnings details. Communicate LTR decisions in writing and make adjustments as necessary.
• Handle payment calculations and ensure funds go to the correct payees (for example, employers, government agencies, or third parties).
• Process other benefit types like Non Economic Loss (NEL), Future Economic Loss (FEL), Temporary Total Benefits (TT), survivor benefits, and Loss of Retirement Income (LRI).
• Make manual calculations for complex cases and self‑release payments up to $29,999.99 per file.
• Take corrective actions for any payment errors and notify the right departments.
• Work with management to review reports and ensure payments are accurate.
• Handle cheque issues such as cancellations, reissues, or stop‑payments as needed, and update worker or payee profiles.
• Promote the use of online services and identify potential improvements in training or processes.
• Provide technical advice and support.
• Offer expert guidance on payment policies, procedures, and system use to case owners, Return‑to‑Work Specialists (RTWS), Customer Service Representatives (CSRs), and others at the WSIB.
• Respond to questions from…