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Junior Claims Adjudicator, Living Benefits
Company | Manulife |
Address | Ontario, Canada |
Employment type | FULL_TIME |
Salary | |
Category | Insurance |
Expires | 2023-09-04 |
Posted at | 9 months ago |
We are a leading financial services provider committed to making decisions easier and lives better for our customers and colleagues around the world. From our environmental initiatives to our community investments, we lead with values throughout our business. To help us stand out, we help you step up, because when colleagues are healthy, respected and meaningfully challenged, we all thrive. Discover how you can grow your career, make impact and drive real change with our Winning Team today.
- Obtain proper file information and review with policy provisions to verify eligibility
- You will have adjudication knowledge and experience
- Manage ongoing claims by requesting further medical, financial documentation or investigations as required and consult with specialists in all areas.
- Accurately maintain claim records on system to ensure accuracy of reserve calculations
- Document the claim file to ensure an accurate record of events that transpire in the claim handling
- Make decisions on claim benefit eligibility determination and communication decisions to stakeholders
- Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements; administer policy enhancements, premium waiver and other policy benefits
- Establish and maintain superior customer service to policyholders, agents, marketing centers
- Create a white glove customer experience for our Claimants
- You own it – you make it happen, are accountable and you find solutions.
- Customer service oriented individual with negotiating skills is essential.
- Ability to thrive in a high energy culture.
- 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.
- 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.
- University degree in any discipline or equivalent work experience.
- Working knowledge of government legislation and legal precedents, the Insurance Act and/or Quebec Civil Code is an asset.
- Excellent interpersonal skills with good oral and written communication skills in English for use in dealing with internal and external customers, claimants, brokers, physicians, employees, hospitals, investigators and lawyers.
- Continuous improvement mindset.
- You get it done together – you have a proven track record of building strong relationships and collaboration.
- 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 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.
- Good working knowledge of the underwriting process.
- Good analytical skills to evaluate conflicting information from various key sources in order to assess risk in making timely and effective decisions with appropriate.
- Ability to respond constructively and decisively in high pressure or emotional situations and to respond positively to change.
- Proven ability to make decisions and handle pressure.
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