Residential Claims Specialist

3 weeks ago

Markham, Canada TD Bank Full time

411243BR

Insurance

Markham, ON

June 8, 2023

Company Overview

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.
- In Canada, we have two lines of business, General Insurance and Life and Health. Our General Insurance business is one of the top homes 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.
Reporting to the Senior Manager, Private Client Advice Claims; the Claims Specialist is responsible for the investigation, evaluation and timely resolution and service of High net worth clients claims. Using expert knowledge to handle complex, high profile claims requiring extra care and attention to resolve. You will be required to meet clients/witnesses etc. to obtain statements and/or negotiate claims on site on behalf of TD Insurance. This role contributes to the legendary customer experience, maintaining high regard for quality and personalized service for a high net worth client segment. You will work collaboratively with internal and external partners to ensure all claims are appropriately managed and resolved, while mitigating risks and escalations and valuing speed and accuracy.

**Job Description**:
Additional accountabilities include but are not limited to the following:

- Use expert knowledge to handle complex, high risk claims that typically take over a year to resolve.
- Identify potential fraudulent claims and handle according to organizational processes/procedures
- Work with claim management vendors to maintain service standards
- Support the timely and accurate completion of business processes and procedures
- Protect the interests of the organization - identify and manage risks, and escalate non-standard, high risk transactions / activities as necessary
- Ensure documentation that is prepared / completed is accurate and properly reflects client / business intentions and is consistent with relevant rules / regulations
- Actively manage relationships within and across various business lines/ corporate and/or control functions and ensure alignment with enterprise and/or regulatory requirements
- Ensure necessary due diligence to support the accuracy of all customer transactions / activities
- Keep abreast of emerging issues, trends, and evolving regulatory requirements and assess potential impacts
- Maintain a culture of risk management and control, supported by effective processes in alignment with risk appetite
- Assume responsibility to minimize operational and regulatory risk by complying with Bank and industry Code of Conduct
- Participate fully as a member of the team, support a positive work environment that promotes service to the business, quality, innovation and teamwork and ensure timely communication of issues/ points of interest
- Provide thought leadership and/ or industry knowledge for own area of expertise in own area and participate in knowledge transfer within the team and business unit
- Keep current on emerging trends/ developments and grow knowledge of the business, related tools and techniques
- Participate in personal performance management and development activities, including cross training within own team
- Keep others informed and up-to-date about the status / progress of projects and / or all relevant or useful information related to day-to-day activities
- Contribute to team development of skills and capabilities through mentorship of others, by sharing knowledge and experiences and leveraging best practices.
- Lead, motivate and develop relationships with internal and external business partners / stakeholders to develop productive working relationships.
- Contribute to a fair, positive and equitable environment that supports a diverse workforce
- Act as a brand ambassador for your business area/function and the bank, both internally and/or externally

**Requirements**:

- Excellent verbal and written communication skills
- Superior client service orientation
- Ability to work independently while supporting a team environment
- Demonstrated ability to function effectively in a fast-paced, multi-faceted environment
- Excellent organizational and time management skills
- Strong typing and computer skills
- 5-7 years of Insurance Claims experience, with focus being primarily on property claims
- Experience dealing with more complex and larger loss insurance claims is required
- Experience in handling liability claims is preferred
- Experience with and underst

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