Critical Illness Claims Assessor

Company 1 - The Manufacturers Life Insurance Company; Canada; Remote; CAD 44,000 - 73,000; Full time

Job summary

Manulife/John Hancock in Canada seeks a claims professional to review coverage, eligibility, enrolment, beneficiary information and supporting medical reports.

You will confirm contract provisions and calculate eligible benefits, prepare claims system records for payment and communicate decisions to claimants and group clients.

Preferred bilingual (French & English) with insurance industry experience, strong MS Office skills, empathy and excellent judgment.

Qualifications

• Prior life/disability claims experience beneficial.
• Understanding of medical terminology.
• Interpretation of contractual wording.
• Excellent communication skills with ability to influence internal and external clients at all levels.
• Ability to demonstrate empathy.
• Strong Microsoft Office skills (Outlook, Teams, MS Word and Excel).
• Excellent judgment and ability to meet deadlines.

Responsibilities

• Review coverage, eligibility, enrolment, beneficiary information, and supporting medical reports.
• Confirm contract provisions and calculate eligible benefits.
• Prepare claims system records for payment.
• Communicate decisions to claimants and group clients.
• Assist plan sponsors with queries and support claimants in acquiring vital documentation.

Skills

Communication

Empathy

Time management

Teamwork

Tools

Outlook

Teams

MS Word

Excel

Job description

Position Responsibilities:

• Review coverage, eligibility, enrolment, beneficiary information, and supporting medical reports.
• Confirm contract provisions and calculate eligible benefits.
• Prepare claims system records for payment.
• Communicate decisions to claimants and group clients.
• Assist plan sponsors with queries and support claimants in acquiring vital documentation.

Required Qualifications:

• Previous Life/disability claims experience would be beneficial
• Understanding of medical terminology
• Interpretation of contractual wording
• Excellent communication skills with the ability to influence internal and external clients at all levels
• Ability to demonstrate empathy
• Strong Microsoft Office skills (Outlook, Teams, MS Word and Excel)
• Excellent judgment - the ability to recognize quickly what needs to be done in order to satisfy the expectations
• Validated analytical, organization, time management and decision-making skills
• Ability to work efficiently individually and with a team
• Proven track record to prioritize and meet deadlines and specific turn-around times
• Flexibility to adapt to change and work additional hours as business needs require
• Ability to assess risk with each decision

Preferred Qualifications:

• Bilingual (French & English) preferred - The successful candidate may be required to communicate in English and French in order to support clients from various jurisdictions.
• Insurance industry experience specifically with Group Benefits preferred

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.

Joining us means you’ll be empowered to learn and grow your career. We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words. And as part of our global team, you’ll help shape the future you want to see – and discover that better can take you anywhere you want to go. We’re proud of our accomplishments and recognition. Recent awards include: 2026 Gallup Exceptional Workplace Award Winner Manulife Named one of Forbes World’s Best Employers 2025 Financial Times World’s Best Employers Asia-Pacific 2026 We’ve been recognized as one of Canada’s Top 100 Employers 2026 #1 Life Insurer for AI Maturity by Evident 2026

References Salary

Location CAN, Ontario - Full Time Remote Working Arrangement Remote Base salary range is expected to be between $43,875.00 CAD - $73,125.00 CAD Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance. The actual base salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. If you are applying for this role outside of the primary location, please contact [e-mail] for the salary range for your location.

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.

We use data and analytics technologies, such as artificial intelligence (AI), and automated processing tools, to analyze and process the information you provide to us or third parties in the application process. For more information, please refer to our personal information collection statement.

Our ambition is to be the number one choice for customers. Learn more at https://www.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].