Disability Claims Adjudicator, Affinity Markets

Disability Claims Adjudicator, Affinity Markets

Apply locations: CAN, Ontario - Full Time Remote, CAN, Nova Scotia - Full Time Remote, CAN, New Brunswick - Full Time Remote, CAN, Manitoba - Full Time Remote, CAN, Saskatchewan - Full Time Remote

Time type: Full time

Posted on: Posted 3 Days Ago

Time left to apply: End Date: December 31, 2024 (10 days left to apply)

Job requisition id: JR24120726

Are you looking for unlimited opportunities to develop and succeed? With work that challenges and makes a difference and a flexible and supportive environment, we can help our customers achieve their dreams and aspirations.

To be successful in our claims department you must have a passion for making a difference in our customers' lives! You will be a dynamic, positive, customer service focused and creative individual in your work. You will also need to have an aptitude and demonstrated ability to think outside of the box to provide solutions and identify opportunities to improve our processes and customer experience. You are a change-maker, innovative, resourceful and thrive on pushing our company forward with fresh ideas. You are hungry for success and we foster a working environment where you can grow your skills and achieve your goals.

Responsibilities:

• Establish and maintain superior customer service to plan sponsors, policyholders, agents, marketing centers.
• Manage ongoing claims by requesting further medical, financial documentation or investigations as required and consult with specialists in all areas.
• Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements; administer policy enhancements, premium waiver and other policy benefits.
• Make decisions on claim benefit eligibility determination and communication decisions to stakeholders.
• Document the claim file to ensure an accurate record of events that transpire in the claim handling.
• Obtain proper file information and review with policy provisions to verify eligibility.
• Accurately maintain claim records on system to ensure accuracy of reserve calculations.

Job Requirements (Education, Experience, Knowledge, Skills and Proficiencies):

• University degree in any discipline or equivalent work experience.
• 2-3+ years’ experience in adjudicating claims, preferably disability and critical illness.
• Customer service oriented individual with negotiating skills is essential.
• Excellent interpersonal skills with good oral and written communication skills in English for use in dealing with internal and external customers, claimants, brokers, physicians, employees, hospitals, investigators and lawyers.
• Must have a good working knowledge of medical conditions and terminology, as well as experience in the interpretation and application of financial documentation and fair claims practices.
• Ability to respond constructively and decisively in high pressure or emotional situations and to respond positively to change.
• Working knowledge of government legislation and legal precedents, the Insurance Act and/or Quebec Civil Code is an asset.
• Good working knowledge of the underwriting process.
• Ability to thrive in a high energy culture.
• Good analytical skills to evaluate conflicting information from various key sources in order to assess risk in making timely and effective decisions.
• Proven ability to make decisions and handle pressure.
• Ability to communicate in French is an asset.
• You share your humanity – you like being part of a collaborative team and are open to diverse perspectives...and of course, you like to have some fun at work.

About Manulife and John Hancock

Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit https://www.manulife.com/en/about/our-story.html.

Manulife is an Equal Opportunity Employer

At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact recruitment@manulife.com.

Primary Location: CAN, Ontario - Full Time Remote

Working Arrangement: Remote

Salary range is expected to be between: $56,400.00 CAD - $94,000.00 CAD

If you are applying for this role outside of the primary location, please contact recruitment@manulife.com for the salary range for your location. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance.

Manulife offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans. We also offer eligible employees various retirement savings plans (including pension and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in Canada includes holidays, vacation, personal, and sick days, and we offer the full range of statutory leaves of absence.