Accident Benefits Claims Advisor

Work Location:

Markham, Ontario, Canada

Hours:

35

Line of Business:

TD Insurance

Pay Details:

$58,800 - $83,000 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:

Make a real impact when it matters most.

At TD Insurance, we help people navigate some of the most challenging moments in their lives. As part of our Accident Benefits Claims team, you’ll play a critical role in supporting clients through injury recovery—ensuring they receive the right care, at the right time, while delivering fair, accurate claim decisions.

About TD Insurance

TD Insurance is part of TD Bank Group, one of Canada’s largest financial institutions. We serve more than three million clients and are a leader in home, auto, life, and health insurance.

We are committed to providing simple, fast, and fair claims experiences—and to creating an environment where our colleagues can grow, develop, and thrive.

About the Role

As an Accident Benefits Claims Advisor, you will manage a portfolio of predominantly medical claims. You’ll investigate, assess, and make decisions on eligibility and treatment plans—helping clients move forward in their recovery journey.

This is a role for someone who is both analytical and empathetic—someone who can balance strong decision-making with genuine care for people navigating difficult situations.

Manage Claims with Accuracy & Care

• Investigate claims by gathering and analyzing medical documentation and supporting evidence

• Assess eligibility and entitlement based on policy and regulatory requirements

• Evaluate treatment plans and make recommendations aligned to recovery outcomes

• Identify gaps or inconsistencies in information and take appropriate action

Own Your Files End-to-End

• Manage a portfolio of claims with a focus on quality, timeliness, and compliance

• Maintain appropriate reserves, payment prioritization, and documentation standards

• Deliver strong file management through organization, attention to detail, and follow-up

Support Client Recovery

• Act as a key point of contact for injured clients, providing clear guidance on benefits and next steps

• Build trust through empathetic, professional communication

• Ensure clients have timely access to treatment and support services to facilitate recovery

Contribute to Team Performance

• Maintain productivity targets, including file counts and closure timelines

• Collaborate with peers and partner teams during high-volume periods or critical events

• Support a positive, inclusive team environment

What You’ll Gain

• Deep expertise in medical claims, insurance legislation, and case law

• Exposure to complex decision-making and investigative work

• Clear progression opportunities within Accident Benefits and Claims

• Ongoing learning support, including CIP designation and specialized training

✅ What We’re Looking For

Core Skills

• Strong analytical and critical thinking abilities

• Ability to interpret medical documentation and make sound decisions

• Excellent communication skills (written and verbal)

• Proven ability to manage multiple priorities in a fast-paced environment

Experience & Background

• Education in kinesiology, health sciences, or a related field is an asset

• Experience in claims, insurance, healthcare, or client-facing roles is preferred

• Exposure to medical terminology or rehabilitation concepts is highly beneficial

What Will Make You Successful Here

• You are detail-oriented and structured in your approach

• You’re comfortable making decisions with incomplete information

• You can balance empathy with objectivity

• You’re motivated by helping people and solving problems

Who Thrives in This Role

This role is ideal for someone who:

• Enjoys analyzing information and making evidence-based decisions

• Is interested in the intersection of health, insurance, and client support

• Can handle emotionally sensitive situations with professionalism and care

• Wants to build a long-term career in claims or insurance

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