Bilingual Disability Claims Adjudicator

Manulife; Southwestern Ontario; Remote; CAD 44,000 - 75,000; Full time

Job summary

A leading international financial services provider is seeking a Bilingual Disability Claims Adjudicator. This remote role involves managing claims, providing top-notch customer service, and making eligibility decisions. The successful candidate must be fluent in French and English and possess strong analytical skills. A university degree and experience in claims adjudication are preferred. A commitment to customer satisfaction and service excellence is essential.

Benefits

Customizable benefits including health and dental

Generous paid time off

Retirement savings plans with employer matching

Qualifications

• 2-3+ years experience in adjudicating claims, preferably disability.
• Good working knowledge of medical conditions and terminology.
• Ability to work under pressure and handle emotional situations.

Responsibilities

• Establish superior customer service to policyholders.
• Manage ongoing claims and request documentation as needed.
• Review claims for proper disclosure and administer policy benefits.
• Make decisions on claim benefit eligibility.

Skills

Bilingual (French & English)

Customer service orientation

Negotiation skills

Analytical skills

Education

University degree or equivalent work experience

Job description

Overview

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.

We are currently seeking a Bilingual Disability Claims Adjudicator for a client base across Canada. Product lines include Personal Accident Disability, Premium Waiver and Financial Institutions. The successful candidate must be able/willing to work in a team environment and be motivated to maintain exemplary customer service to our clients.

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 consulting 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

• Bilingual (French & English) is required - The successful candidate will be required to communicate in English and French in order to support clients from various jurisdictions outside of Quebec.
• University degree in any discipline or equivalent work experience in the insurance industry is an asset.
• 2-3+ years’ experience in adjudicating claims, preferably disability.

Preferred Qualifications

• Customer service-oriented individual with negotiating skills is essential.
• Excellent interpersonal skills with good oral and written communication skills for use in dealing with internal and external customers, claimants, brokers, physicians, employees, hospitals, investigators and lawyers.
• Must have a 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 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 Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit the Manulife website at: manulife.com.

Manulife is an Equal Opportunity Employer

At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact [e-mail].

Referenced Salary Location

CAN, Quebec - Full Time Remote

Working Arrangement

Remote

Salary range is expected to be between

$44,775.00 CAD - $74,625.00 CAD

If you are applying for this role outside of the primary location, please contact [e-mail] for the salary range for your location. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance.

Manulife offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans. We also offer eligible employees various retirement savings plans (including pension and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in Canada includes holidays, vacation, personal, and sick days, and we offer the full range of statutory leaves of absence. If you are applying for this role in the U.S., please contact [e-mail] for more information about U.S.-specific paid time off provisions.