Experienced Accident Benefit Claims Advisor- Senior

Description

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Department Overview

TD 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.

This is a primarily onsite position, with an expectation to work from the office 4 days per week. Target start date for this role is September 2026.

About the Role

Reporting to a Team Manager, the Senior, Accident Benefits Claims Advisor plays a key role in supporting clients through some of their most challenging moments.

In this role, you will:

• Assess, investigate, and manage complex Accident Benefits claims

• Support clients through recovery by ensuring access to the right benefits and treatment

• Work closely with medical stakeholders, legal partners, and internal teams

• Apply judgement and technical expertise across medical, legal, and insurance frameworks to drive fair and timely claim outcomes

This role is ideal for:

✅ Experienced Accident Benefits Claims Advisors / Adjusters
✅ Healthcare professionals (e.g., Registered Nurses, Occupational Therapists, Physiotherapists, Kinesiologists, Rehabilitation Specialists) looking to transition into a corporate insurance career
✅ Legal professionals (e.g., paralegals, legal assistants, litigation support) with exposure to personal injury or insurance environments

What You’ll Do

• Manage a portfolio of complex AB claims (Non-MIG / Non-CAT)

• Conduct detailed claim investigations and determine entitlement under SABS

• Interpret medical documentation and collaborate with healthcare providers

• Apply a total cost management approach, including reserving and file strategy

• Handle exposures such as:

  Priority of payment

  Loss transfer

  WSIB

• Interpret and apply legislation, policy wording, and legal frameworks in claim decisions

• Support clients through recovery and return-to-function outcomes

• Negotiate effectively with internal and external stakeholders to resolve claims

What We’re Looking For

Insurance Background

• 3+ years of Accident Benefits claims experience

• Strong knowledge of:

  SABS

  Non-MIG / Non-CAT files

  Loss transfer / reserving

• Experience handling files with moderate to high complexity

Healthcare Background (Career Transition)

• Background in:

  Nursing (RN)

  Occupational Therapy

  Physiotherapy

  Kinesiology

  Rehabilitation / clinical roles

• Strong understanding of:

  Injury recovery

  Functional assessments

  Medical documentation

👉 Prior insurance experience is not required — training will be provided.

Legal Background

• Background in:

  Paralegal or legal assistant roles

  Litigation support (personal injury, insurance defense, or accident benefits)

• Experience or exposure to:

  Accident Benefits, personal injury, or insurance-related claims

  Reviewing legal documentation, case files, or medical-legal reports

• Strong ability to interpret:

  Legislation (SABS), policy language, and legal correspondence

👉Prior claims experience is an asset but not required — training will be provided.

Key Skills

• Strong analytical and decision-making skills

• Ability to interpret medical, legal, and technical information

• Excellent communication and client management abilities

• Confidence in handling complex and sensitive situations

• Strong negotiation and conflict resolution skills

• Ability to manage multiple priorities in a fast-paced environment

Why Join TD Insurance

✅ Opportunity to leverage your medical, legal, or claims experience in a corporate setting
✅ Strong potential for improved work-life balance compared to frontline healthcare or high-volume environments
✅ Comprehensive training and onboarding support
✅ Competitive compensation + benefits
✅ Strong focus on career growth and internal mobility
✅ Supportive, collaborative team environment

This is a primarily onsite position, with an expectation to work from the office 4 days per week. Target start date for this role is September 2026.

#LI-TDI

#IN-TDI

Who We Are:

As part of TD Bank Group, one of Canada's largest financial institutions, at TD Insurance, we care for Canadian families, making it easy to get the best advice, protection, and support in their moments of need, always.

TD Insurance offers a wide range of products, including General Insurance and Life and Health. Everyday, we strive to make every interaction, product and experience remarkably human and refreshingly simple for more than four million customers who count on us.

Our Total Rewards Package
Our Total Rewards package reflects the investments we make in our colleagues to help them and their families achieve their financial, physical, and mental well-being goals. Total Rewards at TD includes a base salary, variable compensation, and several other key plans such as health and well-being benefits, savings and retirement programs, paid time off, banking benefits and discounts, career development, and reward and recognition programs.

Additional Information:
We’re delighted that you’re considering building a career with TD. Through regular development conversations, training programs, and a competitive benefits plan, we’re committed to providing the support our colleagues need to thrive both at work and at home.

Please be advised that this job opportunity is subject to provincial regulation for employment purposes. It is imperative to acknowledge that each province or territory within the jurisdiction of Canada may have its own set of regulations, requirements.

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.

If you’re passionate about helping clients and building deep, lasting relationships, TD offers diverse career paths where you can grow your expertise and make a meaningful impact.

We're committed to your success and foster a respectful workplace where diverse perspectives are valued, everyone has fair opportunities to grow, and you can unlock your full potential to achieve your career goals. Here at TD, we hire and develop the best.

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

Interview Process
We’ll reach out to candidates of interest to schedule an interview. We do our best to communicate outcomes to all applicants by email or phone call.

Accommodation
Your accessibility is important to us. Please let us know if you’d like accommodations (including accessible meeting rooms, captioning for virtual interviews, etc.) to help us remove barriers so that you can participate throughout the interview process.

We look forward to hearing from you!

Language Requirement (Quebec only):

Sans Objet