Back


Job Detail

Bilingual Claims Adjudicator - EN JR26040483 Remote

Manulife

Work From Home, Ontario

Bilingual Claims Adjudicator - EN JR26040483 Remote

Manulife

Work From Home, Ontario
 
Salary: $45,900.00 CAD - $76,500.00 CAD
 

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.

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 hr@manulife.com.

Referenced Salary Location

CAN, Quebec - Full Time Remote

Working Arrangement

Remote

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.

Jen Warrington at jen_warrington@manulife.com

About Manulife

Manulife is a leading international financial services group that helps people make their decisions easier and lives better.   We provide financial advice, insurance as well as wealth and asset management solutions for individual, groups and institutions. 

Are you looking for unlimited opportunities to develop and succeed? We offer work that challenges and makes a difference within a flexible and supportive environment, so you can help our customers achieve their dreams and aspirations.  We offer a wide variety of roles across our many locations in Canada, including opportunities in Customer Service, Sales, Marketing, IT, Human Resources and much more.  Think big. Get it done together. Own it. Do the right thing. And share your humanity. Find out what Manulife can offer you!