Loss of Retirement Income (LRI) Specialist (Hybrid)

at  Workplace Safety and Insurance Board

Review and make decisions on worker/payee entitlement to Loss of Retirement Income (LRI) benefits and make necessary adjustments prior to settlement, including payments to deceased workers according to legislation. Reconcile control reports for accuracy and data integrity. Point of contact for escalated LRI issues /enquiries and respond to workers, their representatives, estate trustees, and internal clients in a timely manner.

JOB REQUIREMENTS

Education

• University completion at undergraduate level with a specialty focus in accounting/finance or business administration.

Experience

• Total one year experience. One year experience on the job to reach full working level.

1. Ensure the timely and accurate processing of injured workers’ LRI benefit payments, and the accuracy and integrity of data and records in accordance with legislations and policies (i.e. Workplace Safety and Insurance Act, Workers’ Compensation Act, Good Government Act, WSIB Operational Policies) to ensure that appropriate entitlement and benefit amount are processed and paid. This includes verifying supporting documentation, and resolving entitlement disputes.
2. Review and reconcile monthly internal/external reports (e.g. 64/10, 64/11, late joiner, deceased reports, payment list, potential annuity list, post-settlement report) prepared by record keeper against internally generated reports (e.g. LRI report from CBIA) to verify completeness, worker eligibility and entitlement. This includes identifying and processing account corrections, adjustments and updating in the payment list.
3. Communicate LRI entitlement decisions, payment information, and adjustments (e.g. overpayments, contributions adjustments) with record keeper, workers or their survivors, and internal business partners. Respond to oral and written inquiries. Provide updated approved payment list to the record keeper. Add the survivor as 3rd party claim participant to enable the use of name and address to send the LRI benefit claim package through ACES. Calculate the estimated annuity amount for spouses of deceased workers using the Cannex website and send the information to record keeper to generate annuity Benefit Election letter to spouse. Save copy of Cannex quote in ACES.
4. Verify to ensure accuracy and integrity of data and records related to the Injured Workers Pension Fund (IWPF), resolving errors and discrepancies; request update of demographic information in ACES and WBS; update annuity database with information from various sources; share deceased information with annuity vendors. Process beneficiary forms by updating Beneficiaries database and saving copy of the forms in ACES. Return incorrect forms to workers for correction; update the Past Due database.
5. Ensure adjustments are applied to LRI payment (e.g. overpayment, surplus, manual contribution, FRO and CRA garnishments); For claims with no overpayment recovery through PRCM module in WBS, calculate manual contributions adjustment using the FEL worksheet template. Confirm worker owing (e.g. FRO, CRA garnishments…) with Customer Care, Case Manager, and Payments Services any recoverable overpayments, survivor entitlement, or surplus, including correctness of LOE/FEL contributions up to age 65 and date of death.
6. Validate claims with survivor entitlement that are not entitled to LRI benefit in accordance with legislation. Recommend the transfer of worker’s LRI account balance to the WSIB Survivor account.
7. Review 64/10 and deceased reports and provide record keeper with list of workers that need to be sent notice letters. Prepare affidavits or indemnity forms for mail out to appropriated parties. Respond to oral and written enquiries in accordance with relevant legislations and policies. Occasionally, meet with workers or their survivors in person to discuss entitlement processes and issues. Document conversations in ACES.
8. Run queries and reports, update the Past Due database, and review the claim file of past due accounts for updated balances and contact information to process LRI payments. Recommend transfer of non-entitled LRI account balance to Head Office account.
9. Investigate returned mails and mails with outdated information on file to facilitate payments by reviewing updated addresses from Canada Revenue Agency through the Stakeholder Compliance Service, speak with persons responding to the ‘Please Call Me’ letters to get information on the worker including updated address. Update Past Due database as necessary.
10. Perform other related duties as assigned or required such as generating various letters from the LRI app and Reports database addressed to workers or their survivors; monitoring the LRI queue; participating in special projects or ad hoc assignments; backing up other LRI staff during heavy workload periods or vacation time.