Experienced Accident Benefit Claims Advisor- Senior
About The Position
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. 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 to drive fair and timely claim outcomes
Requirements
- 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
- Background in: Nursing (RN), Occupational Therapy, Physiotherapy, Kinesiology, Rehabilitation / clinical roles
- Strong understanding of: Injury recovery, Functional assessments, Medical documentation
- Strong analytical and decision-making skills
- Ability to interpret medical 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
Nice To Haves
- 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
- Prior insurance experience is not required — training will be provided.
Responsibilities
- 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
- Support clients through recovery and return-to-function outcomes
- Negotiate effectively with stakeholders to resolve claims
Benefits
- Competitive compensation + benefits
- Strong focus on career growth and internal mobility
- Supportive, collaborative team environment
- Comprehensive training and onboarding support
- 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.
- health and well-being benefits
- savings and retirement programs
- paid time off
- banking benefits and discounts
- career development
- reward and recognition programs
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
