Accident Benefits Claims Advisor

TD; Canada; On-site; CAD 55,000 - 83,000; Full time

Job summary

TD Insurance is seeking an Accident Benefits Claims Advisor to join their team in Burlington, Ontario. The role involves handling medical claims, ensuring timely investigations, and providing exceptional customer service. Candidates should have a background in health or insurance and possess strong analytical and communication skills. This position offers opportunities for professional growth and development within a supportive work environment.

Benefits

Health and well-being benefits

Savings and retirement programs

Career development opportunities

Qualifications

• Post-secondary education in kinesiology/health sciences or insurance preferred.
• Strong ability to conduct thorough investigations and analyze evidence.
• Actively working toward a role in Accident Benefits as part of your career development plan.

Responsibilities

• Gather, organize, and verify documented information for claims resolution.
• Evaluate non-complex medical files and recommend treatment plans.
• Build positive relationships with clients and maintain timely progress updates.

Skills

Customer Service

Negotiation

Analytical Skills

Communication

Education

Post-secondary education in health or insurance

Job description

Work Location:
Burlington, Ontario, Canada

Hours:
35

Line of Business:
TD Insurance

Pay Details:
$55,400 - $83,000 CAD

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 candidate's 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:

TD Insurance is an integral part of TD Bank Group (TD) and we're driven to provide legendary experiences and trusted advice to our customers. We help protect our clients from the 'accidents of life' by offering a wide range of products, including credit protection, life, health, travel, home, and auto insurance. With more than three million clients, TD Insurance products and services are available through a network of more than 1,000 TD branches and online.

The TD Insurance brand, through its TD Insurance Credit Protection and TD Insurance Life and Health brands, is the number-one provider of critical illness insurance and direct life and health products in Canada premium origination in Canada. Through its TD Insurance Meloche Monnex and TD Insurance Home and Auto brands, TD Insurance is also the largest direct-response insurance group in the country.

The TD Insurance Accident Benefits Claims Department is responsible for delivering ease and value to our customers through simple, fast and fair claims resolution. Our department also ensures financial results by focusing on the client experience, strong risk management, a well-run operating model and by being an extraordinary place to work.

Job Details

If you're analytical, organized and have a passion for health and recovery, we want you to join our team. Reporting to the Team Manager, this role handles predominantly medical files. You'll be provided with opportunities to develop professional and technical competencies.

As the Accident Benefits Claims Advisor, you'll identify and meet client needs by acting with urgency, ensuring a timely and thorough investigation of the claim, and identifying client eligibility and/or entitlement to their available benefits. You'll also ensure injured clients have quick access to all available benefits so they can return to optimal function.

What You'll Do

No matter where you work at TD you'll make a meaningful impact, grow your skills, and thrive in our culture of care. As a valued member of our Accident Benefits Claims Team your work will involve a range of complexity and may include the following accountabilities:

Make an Impact:

• Gather, organize, and verify documented information from all available sources to ensure a thorough and complete compilation of facts required to resolve the claim.
• Interpret reports and evidence to draw accurate conclusions about proposed treatment(s) and/or repairs and/or actions.
• Maintain effective case handling, priority of payment, loss transfer, and loss reserving for routine telephone claims.
• Evaluate non-complex medical files and recommend treatment plans that do not result in the individual requiring time off from work.
• Contribute to team productivity objectives by maintaining a positive file count and open/close ratio.

Experience Growth:

• Remain current in case law, legislated regulatory changes and recent settlements which impact accident benefits claims.
• Support other TD Insurance businesses during critical events and peak volumes. Partnered Claims Teams include:

• First Response Center
• Catastrophe Claims
• Automobile & Residential Claims

Cultivate our Culture of Care:

• Consider every case as unique; use non-biased methods to achieve file resolution that result in a fair and equitable claim settlement.
• Build positive relationships with clients by promoting clear treatment plans and recovery processes while maintaining timely progress updates to disability files.
• Participate fully as a member of the team and contribute to a positive work environment

Job Requirements

What You Need to Succeed

• Post-secondary education in health (kinesiology/health sciences) or insurance preferred
• Excellent customer service skills with the ability to meet expectations of internal and external clients.
• Proven ability to negotiate win/win outcomes when reasonably possible.
• Demonstrated professional written and verbal communication skills with the ability to listen actively, ask questions and communicate clearly.
• Strong ability to conduct thorough investigations, analyze evidence effectively and identify discrepancies or gaps in data and reports.
• Actively working toward a role in Accident Benefits as part of your career development plan
• Candidates pursuing their Chartered Insurance Professional (CIP) designation and/or other relevant continuing education are preferred.

Who We Are:

As part of TD Bank Group, one of Canada's 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:
We're delighted that you're considering building a career with TD. Through regular development conversations, training programs, and a competitive benefits plan, we're 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 you're interested in a specific career path or are looking to build certain skills, we want to help you succeed. You'll 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 we're committed to helping you identify opportunities that support your goals.

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

Interview Process
We'll 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 you'd 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):
Sans Objet