Bilingual Life & Health Claim Specialist, French & English

Posted 3 days ago

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About the role

  • Claims Specialist adjudicating Life, Critical Illness, and Disability claims for TD Insurance. Providing professional communication and analysis during claim adjudication processes.

Responsibilities

  • Ensure claim philosophy for TD Life and Health is administered in a consistent and cost-effective manner in accordance with TPA and vendor agreements
  • Co-ordinate litigation activity with external counsel and TDBFG legal department
  • Represent TD Life on litigation claim matters
  • Support creating, documenting, and implementing training and procedure manuals
  • Provide leadership, motivate, mentor, and develop staff in all areas of claim adjudication
  • Approve and decline claims over the Claim Advisors and vendor limits
  • Provide problem and complaint resolution on contentious claims for issues not resolved by Advisors and vendors
  • Monitor workflow and reports to ensure all claim service level agreements are met
  • Conduct Quality Assessment Reviews (QARs) for the vendor and provide feedback and recommendations based on the results

Requirements

  • Bilingual French and English is required
  • Minimum Grade 12 education plus 5 years relevant insurance experience in either Individual or Group claims, or University degree or RN qualification
  • Solid working knowledge of Word and Excel
  • Solid knowledge of TD Life products
  • Superior interpersonal skills and ability to handle stressful situations with tact and courtesy
  • Must be able to contribute to a positive working environment and adapt effectively to a changing environment

Benefits

  • health and well-being benefits
  • savings and retirement programs
  • paid time off
  • banking benefits and discounts
  • career development
  • reward and recognition programs

Job title

Job type

Full Time

Experience level

Mid levelSenior

Salary

CA$66,800 - CA$94,300 per year

Degree requirement

High School Diploma

Location requirements

HybridMarkhamCanada

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