Job Information
Manulife Bilingual Claims Adjudicator in Work At Home, Nova Scotia
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 customers lives! You will be a dynamic, positive, customer service focused 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 Disability Claims Adjudicator for a client base across Canada. Product lines include Personal Accident Disability and Financial Institutions. The successful candidate must be able/willing to work in a team environment and be motivated to maintain exemplary customer service to our clients.
Position 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 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
Required Qualifications:
Fully bilingual (French/English): The successful candidate will be required to communicate in English and French in order to support clients from various jurisdictions outside of Quebec.
2-3+ years’ experience in adjudicating claims, preferably disability.
Preferred Qualifications:
University degree in any discipline or equivalent work experience in the insurance industry is an asset.
Customer service oriented individual.
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.
You do the right thing – you can effectively communicate client and business impact, both written and verbal; you clearly articulate business needs between technical and non-technical resources as well as present strategy and vision to management.
You think big – you are a strategic thinker with the ability to think conceptually beyond day-to-day business realities and to effectively consider downstream impacts.
You get it done together – you have a proven track record of building strong relationships and collaboration.
You own it – you make it happen, are accountable and you find solutions.
You obsess about customers – you have a passion for effortless customer service, and you keep that in the forefront of any initiatives you work on.
You share your humanity – you like being part of a collaborative team and are open to diverse perspectives...and of course, you like to have some fun at work.
When you join our team:
We’ll empower you to learn and grow the career you want.
We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
As part of our global team, we’ll support you in shaping the future you want to see.
#LI-REMOTE
The role being advertised is an existing vacancy.
Giới thiệu về Manulife và John Hancock
Tập đoàn Manulife Financial là nhà cung cấp dịch vụ tài chính quốc tế hàng đầu giúp mọi người quyết định dễ dàng hơn và có cuộc sống vẹn toàn hơn. Để tìm hiểu thêm về chúng tôi, hãy truy cập https://www.manulife.com.vn/ .
Manulife là Nhà sử dụng lao động không phân biệt đối xử
Tại Manulife/John Hancock, chúng tôi luôn đón nhận sự đa dạng. Chúng ta cố gắng thu hút, phát triển và duy trì lực lượng lao động đa dạng tương tự như những khách hàng mà chúng ta phục vụ, đồng thời thúc đẩy một môi trường làm việc hòa nhập, đề cao thế mạnh của từng nền văn hóa và cá nhân. Chúng ta cam kết tuyển dụng, duy trì, thăng tiến và trả lương một cách công bằng. Đồng thời, chúng ta quản lý tất cả các hoạt động và chương trình của mình mà không phân biệt đối xử dựa trên chủng tộc, dòng họ, xuất thân, màu da, nguồn gốc dân tộc, quyền công dân, tôn giáo hoặc tín ngưỡng tôn giáo, đức tin, giới tính (bao gồm phụ nữ mang thai và các tình trạng liên quan đến mang thai), xu hướng tính dục, đặc điểm di truyền, tình trạng cựu chiến binh, bản dạng giới, biểu hiện giới, tuổi tác, tình trạng hôn nhân, tình trạng gia đình, khuyết tật hoặc bất kỳ căn cứ nào khác được pháp luật hiện hành bảo vệ.
Ưu tiên của chúng ta là loại bỏ các rào cản để đem lại cơ hội tiếp cận việc làm bình đẳng. Đại diện Bộ phận Nhân sự sẽ làm việc với những ứng viên có yêu cầu điều chỉnh hợp lý trong quá trình ứng tuyển. Tất cả thông tin được chia sẻ trong quá trình yêu cầu điều chỉnh sẽ được lưu trữ và sử dụng tuân theo pháp luật hiện hành và chính sách của Manulife/John Hancock. Để yêu cầu điều chỉnh hợp lý trong quá trình ứng tuyển, hãy liên hệ với hr@manulife.com .
Referenced Salary Location
CAN, Quebec - Full Time Remote
Working Arrangement
Từ xa
Salary range is expected to be between
$45,900.00 CAD - $76,500.00 CAD
Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance. 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. If you are applying for this role outside of the primary location, please contact hr@manulife.com for the salary range for your location.
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 hr@manulife.com for more information about U.S.-specific paid time off provisions.
We use data and analytics technologies, such as artificial intelligence (AI), and automated processing tools, to analyze and process the information you provide to us or third parties in the application process. For more information, please refer to our personal information collection statement (https://careers.manulife.com/global/en/talentacquisitionprivacystatement) .