Bilingual Claims Adjudicator
1 day ago
We are seeking a Bilingual Claims Adjudicator to join our team, responsible for managing claims, providing customer service, and making decisions on disability claim eligibility.
About the Role:- Establish and maintain superior customer service to policyholders, agents, and marketing centers.
- Manage ongoing claims by requesting further medical, financial documentation, or investigations as required.
- Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements.
- Make decisions on disability claim eligibility and communicate 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.
- 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.
- Bilingual (French & English) is required.
- 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.
- 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.
- Proven ability to make decisions and handle pressure.
- Continuous improvement mindset.
Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better.
What We Offer:- Competitive salary and benefits packages.
- Growth trajectory that extends upward and outward, encouraging you to follow your passions and learn new skills.
- Flexible work policies and strong work-life balance.
- Professional development and leadership opportunities.
- 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.
- Continuous innovation - 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.
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