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Bilingual Disability Claims Adjudicator
2 weeks ago
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.
**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**:
- 2-3+ years’ experience in adjudicating claims, preferably disability.
- Customer service oriented individual with negotiating skills is essential.
**Preferred Qualifications**:
- University degree in any discipline or equivalent work experience.
- 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.
**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
**About Manulife and John Hancock**
**Manulife is an Equal Opportunity Employer**
**Primary Location**
CAN, Quebec - Full Time Remote
**Working Arrangement**
Remote
**Salary range is expected to be between**
$58,275.00 CAD - $97,125.00 CAD
Manulife offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short
