Experienced Accident Benefit Claims Advisor- Senior

Posted 8 Days Ago
Be an Early Applicant
2 Locations
In-Office
67K-94K Annually
Senior level
Fintech • Insurance • Financial Services
The Role
Manage and investigate complex Accident Benefits (Non-MIG/Non-CAT) claims under SABS. Interpret medical documentation, coordinate with healthcare, legal and internal stakeholders, apply total cost management and reserving, handle loss transfer and WSIB exposures, support client recovery and negotiate claim resolutions.
Summary Generated by Built In

Work Location:

Markham, Ontario, Canada

Hours:

35

Line of Business:

TD Insurance

Pay Details:

$66,800 - $94,300 CAD

TD is committed to providing fair and equitable compensation opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been designed to allow colleagues to progress through the salary range over time as they progress in their role. The base pay actually offered may vary based upon the candidate's skills and experience, job-related knowledge, geographic location, and other specific business and organizational needs.

As a candidate, you are encouraged to ask compensation related questions and have an open dialogue with your recruiter who can provide you more specific details for this role.

Job Description:

Department Overview

TD Insurance is part of TD Bank Group, one of Canada’s largest financial institutions. We help protect clients from the “accidents of life” with products including life, health, home, auto, and travel insurance.

With over 3 million clients and a national presence, we offer the opportunity to be part of a stable, growing organization where your expertise can make a meaningful impact.

At TD Insurance, we are committed to fostering an inclusive environment where talent is supported, development is encouraged, and careers can truly grow.

This is a primarily onsite position, with an expectation to work from the office 4 days per week. Target start date for this role is September 2026.

About the Role

Reporting to a Team Manager, the Senior, Accident Benefits Claims Advisor plays a key role in supporting clients through some of their most challenging moments.

In this role, you will:

  • Assess, investigate, and manage complex Accident Benefits claims

  • Support clients through recovery by ensuring access to the right benefits and treatment

  • Work closely with medical stakeholders, legal partners, and internal teams

  • Apply judgement and technical expertise across medical, legal, and insurance frameworks to drive fair and timely claim outcomes

This role is ideal for:

✅ Experienced Accident Benefits Claims Advisors / Adjusters
Healthcare professionals (e.g., Registered Nurses, Occupational Therapists, Physiotherapists, Kinesiologists, Rehabilitation Specialists) looking to transition into a corporate insurance career
Legal professionals (e.g., paralegals, legal assistants, litigation support) with exposure to personal injury or insurance environments

What You’ll Do
  • Manage a portfolio of complex AB claims (Non-MIG / Non-CAT)

  • Conduct detailed claim investigations and determine entitlement under SABS

  • Interpret medical documentation and collaborate with healthcare providers

  • Apply a total cost management approach, including reserving and file strategy

  • Handle exposures such as:

    • Priority of payment

    • Loss transfer

    • WSIB

  • Interpret and apply legislation, policy wording, and legal frameworks in claim decisions

  • Support clients through recovery and return-to-function outcomes

  • Negotiate effectively with internal and external stakeholders to resolve claims

What We’re Looking ForInsurance Background
  • 3+ years of Accident Benefits claims experience

  • Strong knowledge of:

    • SABS

    • Non-MIG / Non-CAT files

    • Loss transfer / reserving

  • Experience handling files with moderate to high complexity

Healthcare Background (Career Transition)
  • Background in:

    • Nursing (RN)

    • Occupational Therapy

    • Physiotherapy

    • Kinesiology

    • Rehabilitation / clinical roles

  • Strong understanding of:

    • Injury recovery

    • Functional assessments

    • Medical documentation

👉 Prior insurance experience is not required — training will be provided.

Legal Background
  • Background in:

    • Paralegal or legal assistant roles

    • Litigation support (personal injury, insurance defense, or accident benefits)

  • Experience or exposure to:

    • Accident Benefits, personal injury, or insurance-related claims

    • Reviewing legal documentation, case files, or medical-legal reports

  • Strong ability to interpret:

    • Legislation (SABS), policy language, and legal correspondence

👉Prior claims experience is an asset but not required — training will be provided.

Key Skills
  • Strong analytical and decision-making skills

  • Ability to interpret medical, legal, and technical information

  • Excellent communication and client management abilities

  • Confidence in handling complex and sensitive situations

  • Strong negotiation and conflict resolution skills

  • Ability to manage multiple priorities in a fast-paced environment

Why Join TD Insurance

✅ Opportunity to leverage your medical, legal, or claims experience in a corporate setting
✅ Strong potential for improved work-life balance compared to frontline healthcare or high-volume environments
✅ Comprehensive training and onboarding support
✅ Competitive compensation + benefits
✅ Strong focus on career growth and internal mobility
✅ Supportive, collaborative team environment

This is a primarily onsite position, with an expectation to work from the office 4 days per week. Target start date for this role is September 2026.

#LI-TDI

#IN-TDI

Who We Are:

As part of TD Bank Group, one of Canada's largest financial institutions, at TD Insurance, we care for Canadian families, making it easy to get the best advice, protection, and support in their moments of need, always.

TD Insurance offers a wide range of products, including General Insurance and Life and Health. Everyday, we strive to make every interaction, product and experience remarkably human and refreshingly simple for more than four million customers who count on us.

Our Total Rewards Package
Our Total Rewards package reflects the investments we make in our colleagues to help them and their families achieve their financial, physical, and mental well-being goals. Total Rewards at TD includes a base salary, variable compensation, and several other key plans such as health and well-being benefits, savings and retirement programs, paid time off, banking benefits and discounts, career development, and reward and recognition programs. Learn more

Additional Information:
We’re delighted that you’re considering building a career with TD. Through regular development conversations, training programs, and a competitive benefits plan, we’re committed to providing the support our colleagues need to thrive both at work and at home.

Please be advised that this job opportunity is subject to provincial regulation for employment purposes. It is imperative to acknowledge that each province or territory within the jurisdiction of Canada may have its own set of regulations, requirements.

Colleague Development

If you’re interested in a specific career path or are looking to build certain skills, we want to help you succeed. You’ll have regular career, development, and performance conversations with your manager, as well as access to an online learning platform and a variety of mentoring programs to help you unlock future opportunities. 

If you’re passionate about helping clients and building deep, lasting relationships, TD offers diverse career paths where you can grow your expertise and make a meaningful impact.  

We're committed to your success and foster a respectful workplace where diverse perspectives are valued, everyone has fair opportunities to grow, and you can unlock your full potential to achieve your career goals. Here at TD, we hire and develop the best.

Training & Onboarding
We will provide training and onboarding sessions to ensure that you’ve got everything you need to succeed in your new role.

Interview Process 
We’ll reach out to candidates of interest to schedule an interview. We do our best to communicate outcomes to all applicants by email or phone call.


Accommodation
Your accessibility is important to us. Please let us know if you’d like accommodations (including accessible meeting rooms, captioning for virtual interviews, etc.) to help us remove barriers so that you can participate throughout the interview process.
We look forward to hearing from you!

Language Requirement (Quebec only):

Sans Objet

Skills Required

  • 3+ years of Accident Benefits claims experience
  • Strong knowledge of SABS (Statutory Accident Benefits Schedule)
  • Experience managing Non-MIG / Non-CAT complex AB files
  • Knowledge of loss transfer and reserving practices
  • Ability to conduct detailed claim investigations and determine entitlement under SABS
  • Ability to interpret medical and technical information and collaborate with healthcare providers
  • Strong analytical and decision-making skills
  • Excellent communication, client management, negotiation and conflict-resolution skills
  • Experience handling files with moderate to high complexity
  • Background in Nursing, Occupational Therapy, Physiotherapy, Kinesiology, Rehabilitation or other clinical roles (career transition path)
  • Ability to manage multiple priorities in a fast-paced environment
  • Work onsite in Markham, Ontario approximately 4 days per week

TD Bank Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about TD Bank and has not been reviewed or approved by TD Bank.

  • Parental & Family Support Parental and family-building support is positioned as a standout, including 16 weeks of paid parental leave for all parents and assistance for fertility, surrogacy, donor support, adoption, and doula reimbursement. This breadth is framed as above average for large U.S. employers and notable within banking.
  • Retirement Support Retirement support is presented as robust, with 401(k) and employer funding described in detail in some summaries (fixed contribution plus additional matching) alongside other savings programs. Employee banking discounts and related financial perks add to the overall rewards value beyond salary.
  • Healthcare Strength Healthcare and mental well-being benefits are characterized as comprehensive, including multiple medical plan options, virtual care, and an Employee & Family Assistance Program with continuous access. These elements are repeatedly emphasized as core components of the Total Rewards offering.

TD Bank Insights

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The Company
New York, NY
93,823 Employees
Year Founded: 1955

What We Do

The Toronto-Dominion Bank & its subsidiaries are collectively known as TD Bank Group (TD). TD is the sixth largest bank in North America by branches & serves approximately 22 million customers in a number of locations in key financial centres around the globe. Over 85,000 TD employees represent the strongest team in banking. Delivering legendary customer experiences is who we are & is part of being the Better Bank. Visit our Careers page to learn more about TD & why TD is a great place to work.

Why Work With Us

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