Alternative Dispute Resolution Consultant

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About the role

  • Alternative Dispute Resolution Consultant resolving complex accident benefit claims for TD Insurance. Managing disputes, reserves, coverage, and catastrophic injury claims across Canadian operations.

Responsibilities

  • Contribute to revenue growth and profitability objectives by managing Accident Benefit claim disputes
  • Manage Accident Benefit disputes according to claims settlement and case reserving policies
  • Ensure regulatory compliance and accurate coverage interpretation throughout claim resolution
  • Deliver optimal client experiences and fair, equitable claim resolutions
  • Provide Accident Benefit claims technical coaching to colleagues
  • Collaborate with regional and national claims management teams
  • Act as a Specialist Complex Claims Advisor for Accident Benefits
  • Investigate complex and high-exposure claims, including catastrophic injuries
  • Identify client eligibility and entitlement and facilitate access to available benefits
  • Manage priority of payment, loss transfer, and loss reserving
  • Participate in large loss meetings, mediations, arbitrations, and litigations
  • Maintain accurate and timely reserves using a total cost management approach
  • Verify information and documentation, assess coverage issues, and identify recovery/liability opportunities
  • Analyze case facts to assess available client benefits
  • Stay current on case law, legal changes, and recent settlements
  • Meet departmental productivity objectives for pending files and open/close ratios

Requirements

  • Post-secondary education
  • 5-7 years relevant and progressively more responsible Accident Benefit claims work experience
  • Experience case managing complex Accident Benefit claims
  • Advanced knowledge of principles and methods pertaining to the resolution of claims
  • Knowledge of claims management practices, company operations and policies
  • Advanced insurance-related designations (CIP/FCIP) would be an asset
  • Strong relationship-building skills
  • Collaborative approach to problem solving, decision-making and communication
  • Effective communication, facilitation, consultation, negotiation, and persuasion skills
  • Ability to collaborate, coach, counsel, and train Advisors
  • Ability to work well under pressure and deal effectively with change
  • Superior organizational and time management skills
  • Ability to identify significant business risks/opportunities and controls/enablers

Benefits

  • Base salary
  • Health and well-being benefits
  • Savings and retirement programs
  • Paid time off
  • Banking benefits and discounts
  • Career development
  • Reward and recognition programs
  • Regular development conversations
  • Training programs
  • Online learning platform
  • Mentoring programs
  • Training and onboarding sessions
  • Interview accommodations, including accessible meeting rooms and captioning for virtual interviews

Job title

Job type

Full Time

Experience level

Mid levelSenior

Salary

CA$79,100 - CA$111,700 per year

Degree requirement

No Education Requirement

Location requirements

OnsiteCalgaryCanada

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