Meritorious Claims Advisor, Special Investigations
3 weeks ago
411036BR
Insurance
Montreal, QC
June 12, 2023
Company Overview
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.
The SIU department provides investigative services, technical expertise, and is a resource for Claims Services nationally. The SIU department’s vision is of world class performance and technical expertise dedicated to the appropriate investigation of insurance claims consistent with the highest standards of professional, ethical and legal conduct. The SIU department investigates files where there is a need for a more in-depth and specialized investigation beyond the scope of Claims Services. Where fact-finding is required, an SIU investigation is conducted in a fair, objective, thorough, timely and professional manner, enabling TDI to objectively make a determination of the facts and circumstances, appropriately addressing fraudulent and non-meritorious matters, and facilitating the resolution of meritorious claims.
**Job Description**:
Reporting to the Group Manager Fraud Initiatives, the SIU claims Advisor is accountable for supporting the SIU Investigation team by providing quality service and managing expenses through the claims settlement process on claims investigated and deemed meritorious. This includes: taking ownership of existing claims, setting up appraisals, assigning contractors, and ordering reports; investigation, negotiation and settlement of automobile claims; generating financial transactions and finalizing settlements in a timely fashion.
- Responsibilities include but are not limited to the following:
- Expedites client contact, explains coverage’s, rights, obligations, claims presentation and processing, in accordance with TD’s Automobile Policies and Procedures
- Delivers Legendary Customer Experiences
- Negotiates and settles claims within authority level and requests authorization where necessary.
- Maximizes accessibility by taking a fair share of claims, and calls when required.
- Follows up with clients to ensure timely and accurate submission of documentation.
- Actively seeks new information, interpretations and techniques to ensure knowledge is current.
- Participates in the development of departmental procedures and directives.
- Diligent processing of claims efficient responding to calls, messages, mail and invoices in accordance with claims service standards
**Requirements**:
- Automobile claims experience is required
- AMF licensing is required
- CIP considered an asset
- Atlantic licensed considered an asset
- Bilingualism Eng./Fre. (written and spoken) required
- Excellent verbal/written communication skills
- Pleasant and patient telephone manner
- Superior client service orientation
- Excellent organization and time management skills
- Demonstrated ability to function effectively in a fast-paced, multi-faceted environment
- Ability to effectively deal with change and help foster an environment open to change
- A positive demeanor that fosters team spirit
Additional Information
This position requires proficiency in a language other than French to support customers, employees or markets located outside the province of Quebec or who require services in a language other than French.
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 meet your needs.
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