Td Bank Accident Benefits Claims Advisor III 

Canada, Ontario, Markham 

364385309

Burlington, Ontario, Canada

Job Description:

Reporting directly to a Team Manager, key responsibility of the Analyst, Accident Benefits, is to act with a sense of urgency in identifying and meeting client needs. This includes ensuring timely & thorough investigation of claims involving predominantly complex issues and/or high exposures, identifying client eligibility and/or entitlement, and ensuring quick access to all available benefits to promote treatment and recovery, and to help the client return to optimal function.

• Responsible for case handling of claims involving more complex issues and/or high exposures including priority of payment, commercial & loss transfer and loss reserving, WSIB, and non-MIG/Non-CAT exposures.
• Ensure accurate and timely reserves and take a total cost management approach to claims.

Job Requirements:

• 3+ years handling of Accident Benefits claims involving more complex issues and/or high exposures including priority of payment, commercial & loss transfer and loss reserving, WSIB, and non-MIG/Non-CAT Exposures

• Proven ability to handle complex (Non-MIG, Non-CAT) Exposures
• Effective management of claims with a total incurred over $50,000, files with moderate complexity.
• Strong Negotiations Skills
• Proven ability to resolve customer escalations in a fair and timely manner.
• You have experience in case managing complex Accident Benefit claims with your exceptional technical skills.
• You listen and respond with authority and compassion.
• You are dedicated to and have a proven ability to communicate effectively and interact successfully with internal and external clients.
• You have demonstrated leadership skills.
• You are a proficient time manager.
• You recognize discrepancies and/or gaps in data and reports and use effective questioning techniques.
• You negotiate win/win outcomes when possible.
• You write clear and professional letters conveying appropriate type and amount of information.
• You effectively interpret the standard auto policy, particularly the SABS.
• You effectively interpret medical documents and have advanced knowledge of the human anatomy.
• You have above average knowledge and experience with the MS Word/Excel.
• You understand the need for accuracy and meeting deadlines.

• Ability to process and handle confidential information with discretion

• Ability to analyze, organize and prioritize work while meeting multiple deadlines

• Ability to set priorities and complete assignments on time

• Skill in conflict resolution and negotiation skills to collaborate across internal and/or external groups/partners

• Skill in persuading or influencing others

• Skill in negotiation and facilitation

• Skill in negotiating by bringing others together and reaching a consensus

• Skill in managing one's own time and the time of others

• Skill in completing assignments accurately and with attention to detail

• Skill in encouraging and building mutual trust, respect, and cooperation among team members

• Ability to work under pressure and meet required deadlines

• Ability to analyze and prepare documents, reports and correspondence

• Ability to provide guidance and expert advice to management or other groups on technical, systems or process related topics

Colleague Development

If you’re interested in a specific career path or are looking to build certain skills, we want to help you succeed. You’ll have regular career, development, and performance conversations with your manager, as well as access to an online learning platform and a variety of mentoring programs to help you unlock future opportunities. Whether you have a passion for helping customers and want to expand your experience, or you want to coach and inspire your colleagues, there are many different career paths within our organization at TD – and we’re committed to helping you identify opportunities that support your goals.

Training & Onboarding

We will provide training and onboarding sessions to ensure that you’ve got everything you need to succeed in your new role.