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Accident Benefits Claims Advisor II
3 months ago
Accident Benefits Claims Advisor II
Work Location:Canada
Hours:35
Line of Business:TD Insurance
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:
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 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:
- 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.
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.
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.
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.
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.
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
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