Job Description

TD Description

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Department Overview

The Claims department is responsible for adjudicating Life, Critical Illness, Accidental Death and Dismemberment, Disability and Hospital claims for the Bank\'s Credit Protections programs and TD Life\'s Direct Life and Health programs. Adjudication of these claims involves daily empathetic and professional communication with customers who are going through a personal crisis, either due to significant disability or death of a spouse or a family member. This department is responsible for evaluation of medical diagnoses\' and, the impact of disability on their ability to work at gainful employment.

Job Requirements

This position requires a minimum Grade 12 education plus 3 years relevant insurance experience in either Individual or Group claims, or University degree or RN qualification. Through on-going professional development, the claim analyst is required to pass one LOMA or ICA course each year and actively work towards the FLMI, ALHC or FLHC designation.

• Solid working knowledge - Word, Excel
• Superior interpersonal skills and ability to handle stressful situations with tact and courtesy
• Must be able to contribute to a positive working environment and have the ability to adapt effectively to a changing environment
• Utilize Change Management skills to promote and implement change positively and work as part of a team to accomplish the goals of our department
• Bilingualism is required with excellent written and verbal communication skills

Hours

37.5



The Bilingual French speaking successful candidate must be proficient in written and verbal communication in their daily interactions with various external partners including the customer, physicians, lawyers, medical providers, and various vendors (investigation agencies, independent medical examiners). Internal partners include underwriters, claim administrators, New Business, CARES department, TDBG branches, Medical directors and staff at other areas of TD Life.

Accountabilities include:

• Adjudicate claims promptly and effectively in a professional and empathetic manner.
• Approve legitimate claims within prescribed authority limits and Service Level Agreements
• Deny claims or rescind policies when required based on contractual definitions, limitations and exclusions
• Approve disability payments based on diagnosis, treatment, restrictions and limitations and occupation

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.

Additional Information

The ability to deliver legendary service by meeting or exceeding all service and quality objectives while effectively working with both external and internal partners to resolve claims and concerns in a thorough, precise and professional yet empathetic manner are vital for this position.

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, and creating an
environment where every employee has the opportunity to reach her/his goals.

Business Line

Other

Job Category - Primary

Insurance

Job Category(s)

Insurance

Job Family

Insurance Claims Management

Time Type

Full Time

Employment Type

Regular

TD Bank