Claims Advisor II

仕事内容

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Job Description
Reporting to a Team Leader, Claims Services, the Casualty Claims Advisor III is responsible for the handling of complex bodily injury tort claims. This includes full investigation of liability and quantum. The Claims Advisor is required to deal with plaintiff and defence counsel on a regular basis and some travel may be required.
• Investigates claims regarding liability, injuries and other accident related damages promptly and thoroughly by pursuing investigation to logical conclusion.
• Establishes and maintains adequate case reserves by adhering to the BI reserving protocol and practices; complies with all established protocols regarding identification, notification and reporting to Major Claims; complies with all established protocols respecting claims settlement authority.
• Collects and documents claims related information in a clear and concise manner while adhering to established protocols to ensure accuracy and quality of information.
• Establishes and maintains proactive and sound litigated claims file handling by:
- Adhering to established guidelines.
- Manage both potential indemnity and expense to ensure sound cost management principles and practices.
- Exercise sound judgment in the evaluation and resolution of all meritorious claims considering all available information adhering to established guidelines.
- Makes prompt contact (in person where practical) with all unrepresented claimants to establish and maintain a relationship of trust and cooperation in order to resolve claims of minor to moderate complexity in a timely manner through a fair and proactive process.
- Manages expectations of claimants throughout the claims process by maintaining regular follow up contact and delivering on commitments made to resolve claims in a timely manner and fair process.
- Communicates with clients, third party claimants, witnesses, health care professionals, law enforcement personnel and forensic experts with respect to their role, rights and responsibilities in the claim process in order to establish and maintain their cooperation and / or collaboration.
- Build trust and business relationships with Plaintiff Counsel to resolve claims files in a timely manner through a fair, reasonable and professional manner through good communication.
- Proactive management and collaboration with Defence Counsel in partnership around all established claims handling and best practices.
- Complete all required reports and all notepad entries in a timely manner.
- Generally works inside the office environment; are expected to attend out of office settlement meetings, mediations and trials. In person visits are also expected.
- Occasional or frequent overnight travel, daily travel to other locations. Some travel required outside of business hours.
- May be required to work irregular hours to schedule activities around availability of key contacts or events
- Driving and travel as required.

Job Requirements
• You have a minimum of 1 year Bodily Injury adjusting experience OR minimum of 2 years Accident Benefits experience OR minimum of 2 years of litigation experience.
• You have knowledge / experience with the current Rules of Civil Procedure
• You have a full understanding of the insurance industry and the related legal environment.
• You are able to prioritize and complete all claims handling related activities around the availability and accessibility of clients, third party claimants, witnesses, health care professionals, law enforcement personnel and forensic experts as required.
• You have superior interpersonal and communication skills.
• You have a strong client service orientation
• You possess excellent organization and time management skills.
• You have effective analytical skills and you are detail oriented.
• You have strong negotiation skills.
• You have the ability to adapt effectively to a changing environment
• You are able to function effectively in a fast paced, multifaceted environment.
• You are able to work independently and with minimum supervision

Inclusiveness

At TD, we are committed to fostering an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the diversity of our customers and communities in which we live and serve. If you require an accommodation for the recruitment/interview process (including alternate formats of materials, or accessible meeting rooms or other accommodation), please let us know and we will work with you to meet your needs.