Claims Advisor Ii

2 months ago

Markham, Canada TD Bank Full time

**TD Description**

Stay current and competitive. Carve out a career for yourself. Grow with us.

**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.

**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

**Job Requirements**

**BREADTH & DEPTH**
- Handle Accident benefits claims
- Responsible for Core 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
- 3+ years relevant experience

**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

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