Bilingual Claims Examiner
2 months ago
Canada
Hours:35
Line of Business:TD Insurance
Pay Details:
We’re committed to providing fair and equitable compensation to all our colleagues. p>
Job Description:
Department Overview
TD Insurance is part of TD Bank Financial 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.
At TD Insurance, we are committed to fostering an inclusive, accessible environment. 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. p>
Job Description
The Complex Claims Advisor is responsible for the investigation, evaluation and timely resolution of complex claims which may involve litigation, liability and environmental issues within their area of expertise and authority. They use expert knowledge to handle complex, high-risk claims that typically take more than 1 year to resolve. In this role, you will be required to meet clients/witnesses in person to obtain statements and/or negotiate claims with clients and third parties. The Complex Claims Advisor applies their technical knowledge to ensure all claims are appropriately reserved and resolved while mitigating risks and escalations.
Key Accountabilities Include:
Customer Experience
- Meet or exceed the needs of the customer by adjusting claims in accordance to policy coverage with accuracy and speed.
- Actively participate in the performance management process.
- Meet professional/personal development objectives by utilizing learning maps and external courses as required.
- Engage in and complete all internal training required for the role.
- Actively participate and/or lead peer coaching and training.
- Provide guidance and technical support to colleagues.
- Act as the Subject Matter Expert (SME) in their area of expertise to increase knowledge base within claims.
- Assess and mitigate risks and escalate as required.
- Ensure accurate and timely reserving of claims.
- Demonstrate the ability to apply claims management principles & procedures in order to manage claims costs and leakage.
- Identify potentially fraudulent claims and handle according to organizational processes/procedures.
- Meet claims service standards and work with claims management vendors to maintain the service standards.
- Understand and apply business operation policies and procedures and legislation.
- Ensure necessary due diligence to support the accuracy of all insurance claims.
- You have a pleasant and patient telephone manner.
- You have the ability to effectively deal with change and help foster an environment open to change.
- You are bilingual (English/French).
- 5-7 years of field residential claims experience, more would be an asset.
- Valid driver's license.
- CIP/FCIP designation is an asset.
- An AMF issued claims adjusting license is a requirement to be considered for this role.
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.
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.
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.
Language Requirement:
This position requires proficiency in a language other than French to support or deal with customers who require services and support in a language other than French.
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