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
IT consultant supporting Microsoft, Azure, network, and end - user infrastructure for Managed IT Services clients across Halifax Regional Municipality. Balancing on - site client support with Dartmouth office work.
Parts Consultant supporting agricultural equipment customers and technicians at Premier Equipment, Ontario’s John Deere dealership. Managing parts sales, inventory, ordering, and customer service.
Senior Consultant leading performance reviews, talent management, and succession planning at LifeLabs. Improving talent systems and leadership development for a Canadian healthcare organization.
Senior ERP Consultant delivering ERP implementations for fuel, gas, logistics, and retail clients. Improving processes, integrating systems, and supporting enterprise software remotely across Western Canada.
Senior Energy Efficiency Consultant helping Ontario manufacturers reduce natural - gas use through Enbridge DSM solutions. Managing industrial projects, savings calculations, customer relationships, and field assessments.
RBC Group Consultant delivering retirement savings and financial wellness programs to commercial and corporate clients. Building referral networks and activating Group Advantage sales across British Columbia.
Senior Consultant implementing Enable’s AI - powered pricing and rebate management platform for customers. Leading configuration, testing, onboarding, adoption, troubleshooting, and go - live delivery.
Allstate Canada claims consultant handling complex Ontario Accident Benefits injury claims remotely. Investigating, negotiating, and settling first - party injury claims while coordinating with claimants, vendors, medical professionals, and lawyers.