Claims Advisor I

411662BR

Insurance

Ajax, ON

June 13, 2023

Company Overview

Department Overview

Manage the client relationship and ensure resolution of a broad range of claims from routine - moderately complex within their area of focus and authority. Leverage appropriate support functions in the investigation and assessment of claims, ensuring timely resolution while mitigating risks and escalation.

**Job Description**:
**KEY ACCOUNTABILITIES**

**CUSTOMER**
- Engage customers in conversations to understand and meet their needs by providing them with advice and service regarding coverage and the claims process
- Provide sound claims advice at every customer interaction to create a legendary customer experience; look for ways to contribute to the on-going improvement of the overall customer experience
- Ensure customer problems are handled appropriately and escalating issues when necessary; refer customers to appropriate team members or internal partners as appropriate
- Demonstrate flexibility to be able to change activities based on customer and business needs
- Create a legendary customer experience at every interaction and look for ways to contribute to on-going improvement of the overall customer experience

**SHAREHOLDER**
- Prioritize and manage own workload to meet SLA requirements for service and productivity
- Consistently exercise discretion in managing correspondence, information and all matters of confidentiality; escalate issues where appropriate
- Be knowledgeable of practices and procedures within own area of responsibility and keep abreast of emerging trends for claims assessment and litigation
- Protect the interests of the organization - identify and manage risks, and escalate non-standard, high risk transactions / activities as necessary
- Contribute to business objectives for Operational Excellence
- Support the timely and accurate completion of business processes and procedures
- Ensure documentation that is prepared / completed is accurate and properly reflects client / business intentions and is consistent with relevant rules / regulations
- Identify, suggest and actively participate in process improvement opportunities
- Identify, recommend and effectively execute standard practices and procedures applicable to insurance claims
- 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

**EMPLOYEE / TEAM**
- 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
- Support the team by continuously enhancing knowledge / 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 the success of the team by willingly assisting others in the completion and performance of work activities; provide training, coaching and/or guidance as appropriate.
- Contribute to a fair, positive and equitable environment that supports a diverse workforce
- Act as a brand champion for the business area/function and the bank, both internally and/or externally

**Requirements**:
**BREADTH & DEPTH**
- Handle some limited situations for Core Auto claims
- Has limited claim settlement authority and requires next level approval for claims in excess of their authority limit
- Complete work within specifically defined parameters with guidance /direction from management as necessary
- Leverage the Claims Resources Team to make file decisions on liability and assessment
- Intermediate level knowledge with some form of related training and/or related experience or skills; Industry accreditation and training generally required
- Typically reports into a Team Manager

**EXPERIENCE & EDUCATION**
- College/ University degree
- 2+ years relevant experience

Hours

35

Inclusiveness

At TD, we are committed to fostering an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the diversity of our customers and communities in which we live and serve. If you require an accommodation for the recruitment/interview process (including alternate formats of materials, or accessible meeting rooms or other accommodation), please let us know and we will work with you to me