Senior Accident Benefits Claims Advisor

Work Location:

Hours:

Line of Business:

Pay Details:

TD is committed to providing fair and equitable compensation opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been designed to allow colleagues to progress through the salary range over time as they progress in their role. The base pay actually offered may vary based upon the candidates skills and experience job-related knowledge geographic location and other specific business and organizational needs.

As a candidate you are encouraged to ask compensation related questions and have an open dialogue with your recruiter who can provide you more specific details for this role.

Job Description:

Department overview:

TD Insurance is part of TD Bank Group one of Canadas largest financial institutions. TD Insurance helps protect clients from the accidents of life with a wide range of products including credit protection life health travel home and auto insurance. With more than three million clients TD Insurance authorized products and services are available online over the phone and through a network of more than 1000 TD Canada Trust branches.

In Canada we have two lines of business General Insurance and Life and Health. Our General Insurance business is one of the top home and auto insurance groups in Canada and the national leader in group insurance and affinity marketing. Our Life and Health business is the number one provider of critical illness insurance and direct life and health insurance in Canada.

At TD Insurance we are committed to fostering an inclusive accessible environment. With a Canada-wide workforce of over 4000 employees and offices in Atlantic Canada Quebec Ontario and Alberta our company is always growing and can help you to grow. TD Insurance offers a stable and dynamic work environment where talent is appreciated and professional development is taken seriously. More than just a job we offer rewarding careers.

Job Description:

Reporting directly to a Team Manager key responsibility of the Analyst Accident Benefits is to act with a sense of urgency in identifying and meeting client needs. This includes ensuring timely & thorough investigation of claims involving predominantly complex issues and/or high exposures identifying client eligibility and/or entitlement and ensuring quick access to all available benefits to promote treatment and recovery and to help the client return to optimal function.

• Responsible for case handling of claims involving more complex issues and/or high exposures including priority of payment commercial & loss transfer and loss reserving WSIB and non-MIG/Non-CAT exposures.

• Ensure accurate and timely reserves and take a total cost management approach to claims.

Job Requirements:

• 3 years handling of Accident Benefits claims involving more complex issues and/or high exposures including priority of payment commercial & loss transfer and loss reserving WSIB and non-MIG/Non-CAT Exposures

• Proven ability to handle complex (Non-MIG Non-CAT) Exposures

• Effective management of claims with a total incurred over $50000 files with moderate complexity.

• Strong Negotiations Skills

• Proven ability to resolve customer escalations in a fair and timely manner.

• You have experience in case managing complex Accident Benefit claims with your exceptional technical skills.

• You listen and respond with authority and compassion.

• You are dedicated to and have a proven ability to communicate effectively and interact successfully with internal and external clients.

• You have demonstrated leadership skills.

• You are a proficient time manager.

• You recognize discrepancies and/or gaps in data and reports and use effective questioning techniques.

• You negotiate win/win outcomes when possible.

• You write clear and professional letters conveying appropriate type and amount of information.

• You effectively interpret the standard auto policy particularly the SABS.

• You effectively interpret medical documents and have advanced knowledge of the human anatomy.

• You have above average knowledge and experience with the MS Word/Excel.

• You understand the need for accuracy and meeting deadlines.

Additional Information

Ability to process and handle confidential information with discretion

Ability to analyze organize and prioritize work while meeting multiple deadlines

Ability to set priorities and complete assignments on time

Skill in conflict resolution and negotiation skills to collaborate across internal and/or external groups/partners

Skill in persuading or influencing others

Skill in negotiation and facilitation

Skill in negotiating by bringing others together and reaching a consensus

Skill in managing ones own time and the time of others

Skill in completing assignments accurately and with attention to detail

Skill in encouraging and building mutual trust respect and cooperation among team members

Ability to work under pressure and meet required deadlines

Ability to analyze and prepare documents reports and correspondence

Ability to provide guidance and expert advice to management or other groups on technical systems or process related topics

#LI-TDI

#IN-TDI

Who We Are:

As part of TD Bank Group one of Canadas largest financial institutions at TD Insurance we care for Canadian families making it easy to get the best advice protection and support in their moments of need always.

TD Insurance offers a wide range of products including General Insurance and Life and Health. More than four million customers count on us.

As the largest direct to consumer insurer in Canada we are always innovating and providing exciting and rewarding career opportunities for our Canada-wide workforce.

Our Total Rewards Package
Our Total Rewards package reflects the investments we make in our colleagues to help them and their families achieve their financial physical and mental well-being goals. Total Rewards at TD includes a base salary variable compensation and several other key plans such as health and well-being benefits savings and retirement programs paid time off banking benefits and discounts career development and reward and recognition programs. Learn more

Additional Information:
Were delighted that youre considering building a career with TD. Through regular development conversations training programs and a competitive benefits plan were committed to providing the support our colleagues need to thrive both at work and at home.

Please be advised that this job opportunity is subject to provincial regulation for employment purposes. It is imperative to acknowledge that each province or territory within the jurisdiction of Canada may have its own set of regulations requirements.

Colleague Development
If youre interested in a specific career path or are looking to build certain skills we want to help you succeed. Youll have regular career development and performance conversations with your manager as well as access to an online learning platform and a variety of mentoring programs to help you unlock future opportunities. Whether you have a passion for helping customers and want to expand your experience or you want to coach and inspire your colleagues there are many different career paths within our organization at TD and were committed to helping you identify opportunities that support your goals.

Training & Onboarding
We will provide training and onboarding sessions to ensure that youve got everything you need to succeed in your new role.

Interview Process
Well reach out to candidates of interest to schedule an interview. We do our best to communicate outcomes to all applicants by email or phone call.

Accommodation
Your accessibility is important to us. Please let us know if youd like accommodations (including accessible meeting rooms captioning for virtual interviews etc.) to help us remove barriers so that you can participate throughout the interview process.

We look forward to hearing from you!

Language Requirement (Quebec only):