Expert ou experte en sinistres III

Work Location:

Hours:

Line of Business:

Pay Details:

We’re committed to providing fair and equitable compensation to all our colleagues. As a candidate, we encourage you to have an open dialogue with a member of our HR Team and ask compensation related questions, including pay details for this role.

Job Description:

Senior Claims Advisor

Department overview:

TD Insurance is part of TD Bank Group, one of Canada’s 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 1,000 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 4,000 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 $50,000, 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 one's 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

Who We Are:

TD is one of the world's leading global financial institutions and is the fifth largest bank in North America by branches/stores. Every day, we deliver legendary customer experiences to over 27 million households and businesses in Canada, the United States and around the world. More than 95,000 TD colleagues bring their skills, talent, and creativity to the Bank, those we serve, and the economies we support. We are guided by our vision to Be the Better Bank and our purpose to enrich the lives of our customers, communities and colleagues.

TD is deeply committed to being a leader in customer experience, that is why we believe that all colleagues, no matter where they work, are customer facing. As we build our business and deliver on our strategy, we are innovating to enhance the customer experience and build capabilities to shape the future of banking. Whether you’ve got years of banking experience or are just starting your career in financial services, we can help you realize your potential. Through regular leadership and development conversations to mentorship and training programs, we’re here to support you towards your goals. As an organization, we keep growing - and so will you.

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

Renseignements supplémentaires :
Nous sommes ravis que vous envisagiez une carrière à la TD. Sachez que nous avons à cœur d’aider nos collègues à réussir dans leur vie tant personnelle que professionnelle. C’est d’ailleurs pourquoi nous leur offrons des conversations sur le perfectionnement, des programmes de formation et un régime d’avantages sociaux concurrentiel.

Veuillez noter que ce poste est assujetti à la réglementation provinciale en matière d’emploi. Il est essentiel de mentionner que chaque province et territoire du Canada peut avoir sa propre réglementation et ses propres exigences.

Perfectionnement des collègues
Un cheminement professionnel particulier vous intéresse ou vous cherchez à acquérir certaines compétences? Nous tenons à vous mettre sur la voie de la réussite. Vous aurez des conversations régulières sur le développement de carrière, le perfectionnement et le rendement avec votre gestionnaire. Une variété de programmes de mentorat et une plateforme d’apprentissage en ligne seront également à votre disposition pour vous aider à ouvrir de nouvelles portes. Que vous ayez à cœur d’aider les clients et souhaitiez élargir votre expérience ou que vous préfériez coacher et inspirer vos collègues, sachez que la TD propose un grand nombre de cheminements professionnels et qu’elle s’engage à vous aider à relever les occasions qui vont dans le sens de vos objectifs.

Formation et intégration
Nous tenons à nous assurer que vous disposez des outils et ressources nécessaires pour réussir à votre nouveau poste. Dans cette optique, nous organiserons des séances d’intégration et de formation.

Processus d’entrevue
Nous communiquerons avec les candidats sélectionnés pour planifier une entrevue. Nous ferons notre possible pour communiquer par courriel ou par téléphone avec tous les candidats pour leur faire part de notre décision.

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: