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TD
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Claims Advisor II, Accident Benefits

TD
Reference ID: 244940BR

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Company Overview

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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 careers.

Job Description
Reporting to the Team Leader, the primary duty of the Accident Benefits Analyst, is to identify and meet client needs and act with a sense of urgency in ensuring a timely and thorough investigation of the claim in order to identify client eligibility and/or entitlement to available benefits. This includes ensuring the injured client has quick access to all available benefits in order to return to optimal function. This is an entry level AB Analyst position handling predominantly medical files; with exposure to develop personal and technical competencies.
• Under direct supervision promotes treatment and recovery of client; is responsible for effective case handling, priority of payment, loss transfer, and loss reserving for routine telephone claims; specifically non-complex medical files with treatment plans that do not result in the individual requiring time off from work. Progress to disability files.
• Gathers, assembles, record and verified information and documentation from all available sources to endure a thorough and complete compilation of facts required to resolve the claim.
• Using established protocols, analyzes and evaluates the facts of an individual case to assess the benefits available to the client. Interprets reports in order to draw accurate conclusion about proposed treatment and/or repairs and/or recommended actions.
• Considers every case as unique and chooses the appropriate methods to achieve file resolution in order to arrive at a fair and equitable claims settlement
• Meet productivity objectives set by the department in terms of pending file count and open/close ratio
• Read and remain current on case law, legislated regulatory changes and recent settlements, which affect accident benefits claims.
Reporting to the Team Leader, the primary duty of the Accident Benefits Analyst, is to identify and meet client needs and act with a sense of urgency in ensuring a timely and thorough investigation of the claim in order to identify client eligibility and/or entitlement to available benefits. This includes ensuring the injured client has quick access to all available benefits in order to return to optimal function. This is an entry level AB Analyst position handling predominantly medical files; with exposure to develop personal and technical competencies.
• Under direct supervision promotes treatment and recovery of client; is responsible for effective case handling, priority of payment, loss transfer, and loss reserving for routine telephone claims; specifically non-complex medical files with treatment plans that do not result in the individual requiring time off from work. Progress to disability files.
• Gathers, assembles, record and verified information and documentation from all available sources to endure a thorough and complete compilation of facts required to resolve the claim.
• Using established protocols, analyzes and evaluates the facts of an individual case to assess the benefits available to the client. Interprets reports in order to draw accurate conclusion about proposed treatment and/or repairs and/or recommended actions.
• Considers every case as unique and chooses the appropriate methods to achieve file resolution in order to arrive at a fair and equitable claims settlement
• Meet productivity objectives set by the department in terms of pending file count and open/close ratio
• Read and remain current on case law, legislated regulatory changes and recent settlements, which affect accident benefits claims.

Requirements
• Post-secondary education in health (kinesiology/health sciences) or insurance preferred
• CIP courses an asset
• You have been working towards a role in Accident Benefits as part of your development plan
• You possess excellent customer service skills and are dedicated to meeting the expectations of internal and external clients.
• You are able to negotiate win/win outcomes when possible
• You have clear and professional written and verbal communication skills
• You demonstrate good listening skills
• You are able to effectively analyze and identify discrepancies or gaps in data and reports
• You demonstrate excellent investigation skills

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.

Posted: May 22, 2019
Closes: July 21, 2019