Claims Specialist
Full time @TD BANK posted 7 hours ago in Accounting / Finance Shortlist Email JobJob Detail
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Job ID 20202
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Experience 5 Years
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Qualifications Degree Bachelor
Job Description
“Job Description:
TD Insurance is part of TD Bank Financial 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 5,000 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.
KEY ACCOUNTABILITIES
CUSTOMER
Use expert knowledge to handle complex, high risk claims that typically take over a year to resolve.
Maybe required to meet clients/witness etc. in the field to obtain statements and/or negotiate claims
Collaborate with internal and external partners while valuing speed and accuracy to deliver the legendary customer experience
Apply claims management principles and procedures in order to manage claims costs and leakage
Identify potential fraudulent claims and handle according to organizational processes/procedures
Work with claim management vendors to maintain service standards
SHAREHOLDER
Act as a subject matter expert in their area of expertise to increase knowledge base within claims
Support the timely and accurate completion of business processes and procedures
Protect the interests of the organization – identify and manage risks, and escalate non-standard, high risk transactions / activities as necessary
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
Actively manage relationships within and across various business lines/ corporate and/or control functions and ensure alignment with enterprise and/or regulatory requirements
Participate in cross-functional / enterprise initiatives as a subject matter expert helping to provide guidance for complex situations
Ensure necessary due diligence to support the accuracy of all customer transactions / activities
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
Provide thought leadership and/ or industry knowledge for own area of 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
BREADTH & DEPTH
Use subject matter expertise to handle complex high risk claims that typically take greater than 1 year to resolve
Handle complex Residential claims
Expert knowledge and understanding of the operating environment, business processes and procedures and transactions lifecycle for own area and as applicable across TDI claims
Coordinate / integrate work with other areas as needed
Require expert industry knowledge and applicable accreditation
Leverage the Claims Resources Team to make decisions on liability and assessment
Maybe required to meet clients/witness etc. in the field to obtain statements and/or negotiate claims
Typically reports into a Team Manager/ Manager, Claims
EXPERIENCE & EDUCATION
Undergraduate degree preferred
5+ years relevant experience “