Healthcare Assessment Claims

Manulife is a leading international financial services provider, helping people make decisions easier and lives better. Help shape the future you want to see — and discover that better can take you anywhere you want to go.

Responsibilities:

Manage all aspects of the claim process

• Adjudicate non-complex claims according to established guidelines and standards as well as state legislation
• Determine appropriate requirements
• Analyze and interpret claim documentation, policy contract wording and in-force policy documentation to establish whether the claim is complete and valid, correct death benefit and correct beneficiary
• Make claim decisions within approval limits
• Make disbursements on valid claims to the correct beneficiary for the correct claim amount
• Communicate and collaborate with the field and head office colleagues to provide the highest quality and service levels to customers
• Handle other issues or requirements related to the claim such as check stop pay and reissue
• Ability to adapt to changing regulatory requirements affecting claim practices and apply new approaches
• Specifically, claims and endowments; annual due diligence address cleanse, process pre-escheatment claim payments
• Process accounting as required Assist in identifying and providing solutions to work related problems and issues (ie. work flow, systems)
• Communicate with claimants or their legal representatives as required
• Comply with complex state legislative requirements in terms of claims practices and report any fraudulent activities to the appropriate sources
• Comply with departmental procedures
• Actively participate in claims department projects that improve effectiveness and efficiency
• Other duties as assigned

Requirements

• Post-secondary education or equivalent work experience
• May require LOMA 280, 290 (or obtained within 12 months of hire)
• Detailed knowledge of claim function including the claims, in-force administration systems and imaging/workflow systems
• Sound knowledge of insurance beneficiaries
• General knowledge of referral areas
• Sound organizational, communication and interpersonal skills Sound analytical skills; ability to define, research and resolve problems
• Sound knowledge of mainframe and PC environment
• Ability to prioritize and work effectively under deadlines balancing published service times with an appropriate customer focus
• Ability to comprehend, retain and apply current technical information to daily work issues
• Knowledge of insurance contract law and state legislative requirements
• Sound knowledge of company plans, riders and benefits including sound knowledge of insurance contract language
• Basic knowledge of reinsurance process
• Basic knowledge of claim accounting

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.

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, visithttps://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, contacthr@manulife.com.

Working Arrangement