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Manulife Financial

Global financial services: insurance and investments

Senior Long Term Care Investigator

Claims AdjudicationConfirmed live in the last 24 hours
Full-time

About the Job

Requirements

  • A bachelor's degree, preferably in Criminal Justice or a related field, is required.
  • Five or more years of experience in the investigation profession and/or financial services industry is required.
  • Proficiency in various computer applications, including Microsoft products, is required.
  • Advanced written and verbal communication skills are required.
  • Advanced analytical skills are required.
  • Advanced interviewing skills are required.
  • Ability to work in a dynamic environment is required.
  • Efficient and effective organizational skills are required.
  • Strong presentation skills are required.

Responsibilities

  • Complete high-quality, complex long-term care claims investigations.
  • Independently develop and execute thorough investigative plans.
  • Obtain and review internal and external documents to support investigative activity and findings.
  • Conduct interviews of insureds, caregivers, and other involved parties.
  • Manage third-party vendors conducting long-term care surveillance activities.
  • Regularly communicate findings and investigation status to requesters.
  • Produce accurate, concise, objective, well-written reports.
  • Present case findings and recommendations for further action to department management and requesters.
  • Use internal case management systems to keep department management updated and to plan and prioritize concurrent assignments.
  • Adhere to departmental, company, and regulatory timelines, policies, and requirements.
  • When applicable, prepare and present cases for referral to law enforcement, prosecutors, and regulators; provide depositions, grand jury testimony, and court testimony as required.
  • Travel on short notice and respond to urgent long-term care claim investigations.
  • Maintain knowledge of advanced investigative techniques, company and external information sources, changes in the financial services industry, applicable laws and regulations affecting long-term care claim investigations, and other relevant topics.
  • Maintain and continuously expand a network of professional contacts.
  • Attend training sessions, read pertinent trade journals, actively participate in professional organizations and associations, and make presentations to those organizations and associations.

Desired Qualifications

  • Graduate work is a plus.
  • Designations or certifications in relevant subject matter areas, such as CFE, LTCP, or LOMA, are a plus.
  • Foreign language proficiency is a plus.

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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