Full-Time

Disability Claims Adjudicator

Affinity Markets

Confirmed live in the last 24 hours

Manulife Financial

Manulife Financial

10,001+ employees

Provides insurance, investment, and retirement solutions

Fintech
Financial Services

Compensation Overview

CA$56.4k - CA$94kAnnually

+ Incentive Compensation

Mid

Remote in Canada

Category
Customer Experience
Customer Support
Customer Success & Support
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.
  • 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 with appropriate.
  • Proven ability to make decisions and handle pressure.
  • Ability to communicate in French is an asset.
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

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 who may not focus as heavily on these areas. 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

1887

Simplify Jobs

Simplify's Take

What believers are saying

  • Issuing subordinated debentures provides capital for growth and strengthens financial stability.
  • Re-appointment of Ernst & Young reinforces investor trust and compliance with standards.
  • Blockchain adoption in wealth management attracts tech-savvy clients, enhancing efficiency.

What critics are saying

  • Competition from fintech companies could erode Manulife's market share.
  • Decentralized finance platforms threaten traditional wealth management services.
  • Regulatory scrutiny on ESG practices may require enhanced disclosures and practices.

What makes Manulife Financial unique

  • Manulife integrates wearable tech like Apple Watch to enhance customer engagement and health.
  • The company leverages blockchain technology to improve transparency in wealth management.
  • Manulife focuses on behavioral insurance strategies, rewarding healthy lifestyle choices.

Help us improve and share your feedback! Did you find this helpful?