TD Looking for Senior Investigator- EN at Edmonton, Alberta, Canada Full Time

Our Values

At TD we’re guided by our purpose is to enrich the lives of our customers, communities and colleagues, and share a set of values that shape our culture and guide our behavior. In exchange for how our colleagues show up to help TD succeed, we are committed to delivering a colleague experience grounded in Impact, Growth and a Culture of Care. No matter where you work across TD, we empower you to make an impact at work and in your community, explore and grow your career and be part of our caring and inclusive culture.

Making Your Well-being a Priority

A caring and supportive culture that promotes colleague well-being is core to who we are. At TD, we focus on total well-being with extensive programs to help colleagues assess, manage, and improve their well-being across four core pillars — physical, financial, social and mental/emotional. In addition, we champion a safe, inclusive and supportive work environment to help colleagues feel a sense of belonging, and supported in their personal and professional growth. Through our focus on total well-being, we know that we can help our colleagues thrive, contribute to our culture of care, and support better business outcomes … because when colleagues feel their best, they’re more likely to do their best.

Our Total Rewards Package

Our Total Rewards package reflects the investment we make in our colleagues to help them, and their families achieve their 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 including medical, dental, vision & mental health coverage, savings and retirement programs, paid time off, banking benefits and discounts, career development, and reward and recognition programs.

How We Work

At TD, we believe in-person connections fuel collaboration and collective creativity. Our workplace experience empowers colleagues to do great work side-by-side at TD locations, while offering flexibility to work remotely where it makes sense for the work and team. Our teams work in one of three workplace models: hybrid, onsite and primarily remote. Wherever our colleagues are working, they’ll always have access to the TD community and experience our culture of care.

Who We Are

TD is one of the world’s leading global financial institutions and is the fifth largest bank in North America by branches. Every day, we deliver legendary customer experiences to over 27 million households and businesses in Canada, the United States and around the world. More than 95,000 TD colleagues bring their skills, talent, and creativity to the Bank, those we serve, and the economies we support. We are guided by our vision to Be the Better Bank and our purpose to enrich the lives of our customers, communities and colleagues. TD is a customer obsessed organization, and we are deeply committed to being a leader in customer experience, that is why we believe that all colleagues, no matter where they work, are customer facing. As we build our business and deliver on our strategy, we are innovating to enhance the customer experience and build capabilities to shape the future of banking. Whether you’ve got years of banking experience or are just starting your career in financial services, we can help you realize your potential. Through regular leadership and development conversations to mentorship and training programs, we’re here to support you towards your goals. As an organization, we keep growing – and so will you.

Department Overview

TD Insurance is part of TD Bank Group, one of Canada’s largest financial institutions. TD Insurance helps protect clients from the ‘accidents of life’ with a wide range of products including credit protection, life, health, travel, home and auto insurance. With more than three million clients, TD Insurance authorized products and services are available online, over the phone, and through a network of more than 1,000 TD Canada Trust branches.

In Canada, we have two lines of business, General Insurance and Life and Health. Our General Insurance business is one of the top home and auto insurance groups in Canada and the national leader in group insurance and affinity marketing. Our Life and Health business is the number one provider of critical illness insurance and direct life and health insurance in Canada.

At TD Insurance, we are committed to fostering an inclusive, accessible environment. With a Canada-wide workforce of over 4,000 employees and offices in Atlantic Canada, Quebec, Ontario and Alberta, our company is always growing and can help you to grow. TD Insurance offers a stable and dynamic work environment where talent is appreciated and professional development is taken seriously. More than just a job, we offer rewarding careers.

The SIU (Special Investigations Unit) department provides investigative services, technical expertise, and is a resource for Claims Services nationally. The SIU department’s vision is of world class performance and technical expertise dedicated to the appropriate investigation of insurance claims consistent with the highest standards of professional, ethical and legal conduct. The SIU department investigates files where there is a need for a more in-depth and specialized investigation beyond the scope of Claims Services. Where fact-finding is required, an SIU investigation is conducted in a fair, objective, thorough, timely and professional manner, enabling TDI to objectively make a determination of the facts and circumstances, appropriately addressing fraudulent and non-meritorious matters, and facilitating the resolution of meritorious claims.

Job Description

Senior Investigators are accountable for conducting thorough investigation for suspicious claims assigned to them. They gather evidence (with the assistance of SIU Investigators) and are responsible for the claims handling of matters accepted for investigation by the Group Managers, Fraud. They investigate claims for fraud or policy violations and deny or resolve claims as appropriate. They may also recommend the reporting of activity to the appropriate authorities. Senior Investigators handle all aspects of claims adjusting including initial claim handling, customer contact, making payments when appropriate, dealing with customer complaints as well as claim disposition and resolution where appropriate.

This role has a hybrid operating model requiring a successful candidate to work from the office and from home.

This particular role will be focused on conducting residential claims investigations.

Key Accountabilities include but are not limited to the following:

• Complete thorough investigations while being sensitive to and protecting TDI’s culture of client service
• Determine investigation strategy using a combination of inside investigation and cognitive interviews, supported by Investigators (field investigators) as needed
• Manage routine claim handling activities, including reserving, payments, claim resolution and closure, and work in partnership with other TDI groups (e.g., subrogation, underwriting)
• Prepare investigation reports and formulate conclusions using consequence matrix; share conclusions and recommendations with Group Manager, Fraud
• Consult Group Managers, Fraud, on consequence management and follow escalation procedures for nuanced cases
• Use internal advanced analytics tools to detect, identify, investigate and prevent fraud.
• Notify customers of outcome of investigation and, where appropriate, resolve claims.

Job Requirements

• 5+ years of residential claims handling. Ideally, a successful candidate will have experience in multiple lines of business (Auto PD, Residential, Bodily Injury and Accident Benefits) and will receive additional consideration based on their breadth of experience.
• A demonstrated commitment to fraud investigation through previous SIU referrals/involvement.
• Knowledge of legal processes and evidence collection.
• Minimum college-level working proficiency.
• Ability to work in advanced analytics systems including data mining programs
• Precision and attention to detail
• Practiced in active listening and summarizing evidence and analytical assessments in order to provide solid and supportable conclusions/actions
• Ability to properly delegate investigative tasks to Investigators for optimal use of resources
• Expert knowledge of Insurance products, systems, policies and procedures and Insurance Act and associated legislation
• Superior knowledge of the principles of casualty, accident benefit, residential and/or automobile physical damage insurance, and associated claims adjustment processes/procedures
• Sustained achievement in claims handling and compliance, evidenced by excellent Claims Performance scores
• Ability to professionally and tactfully handle difficult conversations and confrontation
• Enrolment in the CIP program and completion of the Principles & Practices course is an asset

Inclusiveness

Our Commitment to Diversity, Equity, and Inclusion

At TD, we’re committed to fostering an environment where all colleagues are encouraged to bring their authentic selves to work, experience equitable opportunities, and feel respected and supported. We’re dedicated to building an inclusive workforce that reflects the diversity of the customers and the communities in which we live and serve.

How We’re Helping Make An Impact In Communities

TD has a long-standing commitment to help drive progress towards a more inclusive and sustainable future. That’s why we launched the TD Ready Commitment in 2018, now a multi-year North American initiative. Under the TD Ready Commitment, we are targeting a total of $1 billion by 2030 in community giving four key, interconnected drivers of change: Financial Security, Vibrant Planet, Connected Communities, and Better Health. It’s our goal to help support change, nurture progress, and contribute to making the world a better, more inclusive place for our customers, colleagues, and communities.

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!