Accident Benefits Claims Advisor

TD•Markham, ON

14h•CA$58,800 - CA$83,000•Hybrid

About The Position

Make a real impact when it matters most. At TD Insurance, we help people navigate some of the most challenging moments in their lives. As part of our Accident Benefits Claims team, you’ll play a critical role in supporting clients through injury recovery—ensuring they receive the right care, at the right time, while delivering fair, accurate claim decisions. About TD Insurance TD Insurance is part of TD Bank Group, one of Canada’s largest financial institutions. We serve more than three million clients and are a leader in home, auto, life, and health insurance. We are committed to providing simple, fast, and fair claims experiences—and to creating an environment where our colleagues can grow, develop, and thrive. About the Role As an Accident Benefits Claims Advisor, you will manage a portfolio of predominantly medical claims. You’ll investigate, assess, and make decisions on eligibility and treatment plans—helping clients move forward in their recovery journey. This is a role for someone who is both analytical and empathetic—someone who can balance strong decision-making with genuine care for people navigating difficult situations. 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.

Requirements

Strong analytical and critical thinking abilities
Ability to interpret medical documentation and make sound decisions
Excellent communication skills (written and verbal)
Proven ability to manage multiple priorities in a fast-paced environment
Education in kinesiology, health sciences, or a related field is an asset
Experience in claims, insurance, healthcare, or client-facing roles is preferred
Exposure to medical terminology or rehabilitation concepts is highly beneficial

Nice To Haves

Detail-oriented and structured in your approach
Comfortable making decisions with incomplete information
Can balance empathy with objectivity
Motivated by helping people and solving problems
Enjoys analyzing information and making evidence-based decisions
Interested in the intersection of health, insurance, and client support
Can handle emotionally sensitive situations with professionalism and care
Wants to build a long-term career in claims or insurance

Responsibilities

Manage Claims with Accuracy & Care: Investigate claims by gathering and analyzing medical documentation and supporting evidence
Assess eligibility and entitlement based on policy and regulatory requirements
Evaluate treatment plans and make recommendations aligned to recovery outcomes
Identify gaps or inconsistencies in information and take appropriate action
Own Your Files End-to-End: Manage a portfolio of claims with a focus on quality, timeliness, and compliance
Maintain appropriate reserves, payment prioritization, and documentation standards
Deliver strong file management through organization, attention to detail, and follow-up
Support Client Recovery: Act as a key point of contact for injured clients, providing clear guidance on benefits and next steps
Build trust through empathetic, professional communication
Ensure clients have timely access to treatment and support services to facilitate recovery
Contribute to Team Performance: Maintain productivity targets, including file counts and closure timelines
Collaborate with peers and partner teams during high-volume periods or critical events
Support a positive, inclusive team environment