Expert en sinistres automobile télétravail au Québec chez Sedgwick, qui gère des réclamations d’assurance. Enquête sur les sinistres, analyse la couverture et négocie les règlements.
About the role
- Residential Claims Specialist managing complex, high-risk claims for TD Insurance, a Canadian home and auto insurer. Handling litigation, fraud, settlements, compliance, and customer outcomes.
Responsibilities
- Handle complex, high-risk residential claims using advanced technical expertise
- Meet with clients, witnesses, or other parties in the field to obtain statements and negotiate settlements, as required
- Collaborate with internal teams, external vendors, and business partners to deliver timely and accurate claim resolutions
- Apply claims management principles to control costs and minimize claims leakage
- Identify potential fraudulent claims and manage them according to organizational policies and procedures
- Work with claims vendors to maintain agreed-upon service standards
- Act as a subject matter expert within residential claims
- Ensure claim documentation is accurate, complete, and compliant with regulatory and internal requirements
- Identify, manage, and escalate non-standard or high-risk claims when necessary
- Protect organizational interests by identifying risks and applying appropriate controls
- Contribute to process improvement initiatives
- Participate in cross-functional and enterprise initiatives, providing expert guidance on complex claims scenarios
- Support a collaborative, inclusive, and positive team environment
- Share knowledge, provide coaching, and support skill development within the team
- Stay current on emerging trends, tools, and industry best practices
- Act as a brand ambassador for TD Insurance internally and externally
- Typically report to a Team Manager / Manager, Claims
Requirements
- Extensive experience handling complex residential insurance claims
- Litigation Claims Experience
- Proven ability to manage high-risk, high-severity claims with long resolution timelines
- Expert understanding of the residential claims lifecycle and claims management practices
- Strong knowledge of fraud identification, investigation, and escalation processes
- Ability to operate at maximum claims authority, with escalation for select claims
- Expert industry knowledge with applicable accreditation and credentials
- Strong understanding of insurance regulations, operational environments, and compliance requirements
- Ability to leverage Claims Resources teams and subject matter experts to assess liability and damages
- Excellent judgment, decision-making, and negotiation skills
- Strong written and verbal communication abilities
- Proven ability to collaborate effectively across internal teams and external partners
- Strong organizational, prioritization, and time-management skills
- Comfortable working independently in complex and ambiguous situations
- Commitment to continuous learning and professional development
- Subject to provincial regulation for employment purposes
- Must meet applicable provincial or territorial regulations and requirements
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
- Accessibility accommodations during the interview process
Job title
Job type
Experience level
Salary
Degree requirement
No Education Requirement
Location requirements
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