Work Location: Calgary, Alberta, CanadaHours:35Line of Business: TD InsurancePay Details:$79,100 - $111,700 CADTD is committed to providing fair and equitable compensation opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been designed to allow colleagues to progress through the salary range over time as they progress in their role. The base pay actually offered may vary based upon the candidate's skills and experience, job-related knowledge, geographic location, and other specific business and organizational needs.

As a candidate, you are encouraged to ask compensation related questions and have an open dialogue with your recruiter who can provide you more specific details for this role.

Job Description:

Department OverviewTD Insurance is part of TD Bank Group, one of Canada's largest financial institutions. We help protect clients from the "accidents of life" with products including life, health, home, auto, and travel insurance.

With over 3 million clients and a national presence, we offer the opportunity to be part of a stable, growing organization where your expertise can make a meaningful impact. At TD Insurance, we are committed to fostering an inclusive environment where talent is supported, development is encouraged, and careers can truly grow.

Job Responsibilities:

Under minimal supervision contribute to sustained revenue growth and profitability objectives of the business, handle and proactively manage with a high level of technical expertise disputes that arise from Accident Benefit claims.

Responsible for the management of Accident Benefit disputes, following established claims settlement and case reserving policies,



while ensuring regulatory compliance and coverage interpretation throughout the resolution of the claim. Emphasis is placed on delivering an optimal client experience during the dispute handling of claims while ensuring fair equitable resolutions to all claims.

Provides Accident Benefit claims technical expertise coaching for colleagues within the unit working closely with the regional and national claims management teams. Emphasis is placed on working in a team environment that supports individual learning and development and the achievement of goals and objectives while creating and maintaining a positive and motivating work environment. An additional key responsibility of the successful candidate will involve acting as a Specialist Complex Claims Advisor Accident Benefits, 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 in order to promote treatment and recovery, and to help the client return to optimal function.

Responsible for case handling of claims involving predominantly complex issues and/or high exposures including catastrophic injuries; priority of payment, loss transfer and loss reserving.

Some participation may be required in large loss meetings,



mediations, arbitrations and litigations.

Ensure accurate and timely reserves and take a total cost management approach to claims.

Record and verify information and documentation from all available sources to ensure a thorough and complete compilation of facts required to resolve the claim; and identify potential coverage issues and/or recovery/liability opportunities.

Additional responsibilities: Using established protocols, analyze and evaluate facts of an individual case to assess the benefits available to the client.

Make good decisions based upon a mixture of analysis, wisdom, experience, and judgement.

Read and remain current and up to date on case law, legal changes and recent settlements which affect accident benefit claims.

Apply departmental protocols to ensure productive, productive and cost-effective results.

Meet productivity objectives set by the department in terms of pending file count and open/close ratioJob Requirements: Post-secondary educationAdvanced insurance-related designations (CIP/FCIP) would be an asset5-7 years relevant and progressively more responsible Accident Benefit claims work experience, case managing complex Accident Benefit claims with your exceptional technical skills. Advanced knowledge of principles and methods pertaining to the resolution of claimsKnowledge of claims management practices, company operations and policiesStrong relationship builderA proven collaborative approach to problem solving, decision-making and communication with a broad range of audiencesEffective communication skills including facilitation, consultation, negotiation, and persuasionDemonstrated ability to collaborate, coach, counsel and tra

📌 Alternative Dispute Resolution (Calgary)
🏢 TD
📍 Calgary