Bilingual Claims Adjudicator - Living Benefits

Posted:
9/5/2024, 1:47:13 AM

Location(s):
Nova Scotia, Canada ⋅ Québec City, Quebec, Canada ⋅ New Brunswick, New Jersey, United States ⋅ New Jersey, United States ⋅ Quebec, Canada

Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior

Field(s):
Customer Success & Support

Workplace Type:
Remote

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 customer's lives! You will be a dynamic, positive, customer service-oriented 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.

We are currently seeking a Bilingual Living Benefits Claims Adjudicator for a client base across Canada. Product lines include Critical Illness, Return of Premium on Death, and Long Term Care Policies. The successful candidate must be able/willing to work in a team environment and be motivated to maintain exemplary customer service to our clients.

Responsibilities

  • Establish and maintain superior customer service to policyholders, agents, and marketing centers

  • Manage ongoing claims by requesting further medical, 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

  • 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 the system to ensure the accuracy of reserve calculations

How will you create impact?

The Claims Adjudicator is the primary point of contact for our clients. They collect all the information required by the company, the law, and the regulations to process claims while maintaining the highest level of professionalism and customer satisfaction.

What motivates you?

  • You obsess about customers, listen, engage and act for their benefit.

  • You think big, with curiosity to discover ways to use your agile approach and enable business outcomes.

  • You thrive in teams and enjoy getting things done together.

  • You take ownership and build solutions, focusing on what matters. 

  • You do what is right, work with integrity and speak up.

  • You share your humanity, helping us build a diverse and inclusive work environment for everyone

What we are looking for

  • 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.

  • A university degree in any discipline or equivalent work experience is an asset.

  • 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 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 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.

What can we offer you?

  • A competitive salary and benefits packages.

  • A growth trajectory that extends upward and outward, encouraging you to follow your passions and learn new skills.

  • A focus on growing your career path with us.

  • Flexible work policies and strong work-life balance.

  • Professional development and leadership opportunities.

Our commitment to you

  • Values-first culture: We lead with our Values every day and bring them to life together.

  • Boundless opportunity: We create opportunities to learn and grow at every stage of your career.

  • Boundless opportunity: We invite you to help redefine the future of financial services.

  • Delivering the promise of Diversity, Equity and Inclusion: We foster an inclusive workplace where everyone thrives.

  • Championing Corporate Citizenship: We build a business that benefits all stakeholders and has a positive social and environmental impact.

#LI-REMOTE

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 [email protected].

Primary Location

CAN, Quebec - Full Time Remote

Working Arrangement

Remote

Salary range is expected to be between

$50,250.00 CAD - $83,750.00 CAD

If you are applying for this role outside of the primary location, please contact [email protected] 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. If you are applying for this role in the U.S., please contact [email protected] for more information about U.S.-specific paid time off provisions.