Full-Time

Bilingual Claims Adjudicator

Posted on 11/15/2024

Manulife Financial

Manulife Financial

10,001+ employees

Provides insurance, investment, and retirement solutions

Data & Analytics
Financial Services

Compensation Overview

CA$57k - CA$95kAnnually

+ Incentive Compensation

Junior, Mid

Remote in Canada

Category
Insurance
Finance & Banking
Required Skills
Customer Service
Requirements
  • 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.
  • Bilingual (French & English) is required - The successful candidate will be required to communicate in English and French in order to support clients from various jurisdictions outside of Quebec.
  • 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 with appropriate.
  • Proven ability to make decisions and handle pressure.
  • Continuous improvement mindset.
  • Ability to communicate in Cantonese and Mandarin is an asset.
Responsibilities
  • Establish and maintain superior customer service to 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 disability claim eligibility and communicate 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

Manulife provides a variety of financial services, including life and health insurance, wealth management, and retirement solutions. Their products help individuals, businesses, and institutions manage financial risks and grow their wealth. Manulife generates revenue through premiums from policyholders, fees for managing assets, and investment income. The company uses advanced analytics and technology to offer personalized services, setting it apart from competitors. Manulife's goal is to assist customers in achieving their financial dreams and aspirations while fostering a supportive work environment for its employees.

Company Stage

IPO

Total Funding

N/A

Headquarters

Toronto, Canada

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • Manulife's strong financial performance, as evidenced by a 6% increase in core earnings, indicates robust growth potential and stability for employees.
  • The company's focus on innovation and technology, such as the rollout of GenAI, provides opportunities for employees to work on cutting-edge projects.
  • Manulife's global reach and diverse client base offer employees exposure to international markets and varied professional experiences.

What critics are saying

  • The financial services industry is highly competitive, with potential threats from both traditional and fintech companies that could impact Manulife's market share.
  • Regulatory changes across different regions could pose compliance challenges and affect Manulife's operations.

What makes Manulife Financial unique

  • Manulife's integration of GenAI in contact centers showcases its commitment to leveraging advanced technology for enhanced customer service, setting it apart from traditional financial service providers.
  • The company's global presence across North America, Asia, and Europe allows it to tap into diverse markets, providing a competitive edge over regional players.
  • Manulife's comprehensive suite of services, including insurance, wealth management, and retirement solutions, offers a one-stop-shop for clients, unlike competitors who may specialize in only one area.

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