P&C Business Partner Consultant serving TELUS Health Employer Solutions leadership team. Leading people strategies, managing employee relations, and driving engagement initiatives.
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
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