Disability Claims Adjudicator

3 days ago

Toronto, Canada Manulife Full time

**_Are you looking for a supportive, collaborative workplace with great teams and inspiring leaders? You’ve come to the right place. We’re looking for ambitious people who share our values and want to make every day better for people around the world. If this sounds like you, and the career below sounds exciting, we’d like to hear from you. _**

**Working Arrangement**

Hybrid

**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

**Job Requirements (Education, Experience, Knowledge, Skills and Proficiencies)**:

- Bilingual/French speaking is an asset
- University degree in any discipline or equivalent work experience.
- 2-3+ years’ experience in adjudicating claims, preferably disability.
- Customer service oriented individual with negotiating skills is essential.
- Excellent interpersonal skills with good oral and written communication skills in English (French an asset) for use in dealing with internal and external customers, claimants, brokers, physicians, employees, hospitals, investigators and lawyers.
- 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 in order 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.

**#M-CA-IN-CM**

**About John Hancock and Manulife**

**Manulife is an Equal Opportunity Employer

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