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Senior Accident Benefit Claims Advisor – help clients navigate complex AB claims in a hybrid role in Markham, Ontario.
Delivering timely claim outcomes with expertise in SABS, WSIB, reserving and multidisciplinary stakeholder collaboration.
Title: Experienced Accident Benefit Claims Advisor- Senior
Location: Markham, Ontario
Description: 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.
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 For
Insurance 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:
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.
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