Consultant Data Services

1 month ago

Old Toronto, Canada Manulife Insurance Malaysia Full time
h3>Third Party Administration Consultant

Location: Halifax, Nova Scotia

Time Type: Full-Time

Posted On: Published Yesterday

Time Left to Apply: Deadline: November 9, 2024 (14 days left to apply)

Job Requisition ID: JR24100859

Third Party Administrator (TPA) audits are conducted to identify business risks within Affinity and Group Benefits and to make appropriate recommendations related to efficiency, compliance and/or risk management.

In Affinity, the TPAs provide services on behalf of our plan members and the TPAs are plan sponsors, professional, alumni and retiree associations, retailers, travel partners and other groups/organizations that have a strong affinity with their members or customers. In Group Benefits, the TPAs are selected by the plan sponsors and represent both Corporate and Trustee partnerships such as unionized trade workers and partnerships encompassing the small-mid market segment.

  • Accountable for planning and leading audits related to the Third Party Administrators (TPA) in both Affinity and Group Benefits that administer business on behalf of Manulife.
  • Plan and perform regular audits of TPAs to ensure coverage is being administered in accordance with the terms of the contract or agreement. Evaluate audit controls in place to mitigate risks through the review of control objectives and completion of all assigned audit work (i.e. PCI Compliance, Agent Licensing Requirements, CASL, Provincial Unclaimed Property Reporting, etc.). Ensure compliance, data integrity, and risk management controls exist. li>
  • Write/issue TPA Agreements and any required amendments for TPAs to ensure the Agreement accurately reflects the services to be provided and is in accordance with OSFI’s and Manulife’s outsourcing policies. Negotiate contract provisions with the respective Legal Department.
  • Complete a weekly rotation of shared inboxes and associated tasks, including handling team correspondence related to TPA health and dental claim inquiries, requests from internal stakeholders, and ad-hoc requests.
  • Support risk management and compliance activities, contributing to other projects and tasks as assigned.
  • Provide support and backup functions when the TPA Coordinator is unavailable, learning all aspects of funding of TPAs.
  • University Degree or equivalent work experience.
  • Ability to understand business processes and their risk implications, and make practical recommendations.
  • Proven technical proficiency in Excel and Word.
  • Ability to develop and re-engineer processes with TPAs and business units.
  • 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 is a global leader in financial services that helps people make decisions more easily and live better. p>

Manulife is an equal opportunity employer

At Manulife/John Hancock, we embrace diversity. We strive to attract, develop, and retain a workforce that is as diverse as our clients and foster an inclusive workplace that leverages the diversity of our employees and their skills.

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