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Manulife Financial

Global financial services: insurance and investments

Individual Disability Senior Case Manager

Claims AdjudicationPosted on Oct 26
Full-timeCA$59.7k - CA$99.5k

About the Job

Requirements

  • A university degree in any discipline or equivalent experience.
  • At least 3 years of experience in claims adjudication, ideally in disability claims.
  • Advanced proficiency in Microsoft Office, including Word, Excel, and PowerPoint.
  • Full bilingual proficiency in French and English to communicate with clients from jurisdictions outside Quebec.
  • Knowledge of government legislation and legal precedents, the Insurance Act, and/or the Civil Code of Québec is an asset.
  • Working knowledge of medical conditions and terminology, with experience interpreting and applying financial documentation and fair claims practices.
  • A good understanding of underwriting processes.
  • Strong analytical ability to assess conflicting information from multiple sources, evaluate risk, and make timely, effective decisions.

Responsibilities

  • Establish and maintain superior customer service for policyholders, agents, and marketing centers.
  • Manage ongoing claims by requesting further medical or 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, and endorsements; administer policy enhancements, premium waiver, and other policy benefits.
  • Make decisions on claim benefit eligibility and communicate those decisions to stakeholders.
  • Document claim files to ensure an accurate record of events in claim handling.
  • Obtain proper file information and review policy provisions to verify eligibility.
  • Maintain claim records accurately in the system to ensure accurate reserve calculations.

Desired Qualifications

  • Strong customer service orientation and solid negotiation skills.
  • Excellent interpersonal skills and strong oral and written communication skills for interacting with internal and external clients, service providers, brokers, physicians, employees, hospitals, investigators, and lawyers.

About the Company

Manulife Financial

Global financial services: insurance and investments

Manulife Financial is a global financial services provider offering a wide range of insurance and investment solutions. It serves individuals, businesses, and institutions with products such as life and health insurance, wealth management, and retirement plans. Customers fund these products through premiums, fees for asset management, and investment income earned on invested assets. Manulife uses analytics and technology to tailor services and improve efficiency, aiming to help clients protect their finances, grow their wealth, and plan for retirement. The company differentiates itself through its large international presence in North America, Asia, and Europe, its breadth of products, and its emphasis on data-driven insights to personalize offerings. Its goal is to help customers achieve their financial goals and aspirations by providing comprehensive, paid-for financial solutions and ongoing support across multiple regions.

Company size
10,001+
Company stage
IPO
Headquarters
Toronto, Canada
Founded
1887

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