Critical Illness Claims Assessor

Manulife; Toronto; Remote; CAD 44,000 - 73,000; Full time

Job summary

Manulife Financial Corporation is seeking a Critical Illness Claims Assessor for the Group Benefits team. The role entails reviewing coverage, eligibility, and medical information, calculating benefits, and issuing final decisions with empathy and accuracy.

Remote work is available, with a base salary in CAD and incentive opportunities. You will collaborate with plan sponsors and claimants, handle inquiries, and maintain compliant records while adapting to changing business needs.

Qualifications

• Experience in life or disability claims is beneficial.
• Good understanding of medical terminology.
• Ability to interpret contractual wording clearly.
• Excellent communication and influencing skills with clients and internal partners.
• Demonstrated empathy and customer-focused approach.
• Proficient MS Office skills (Outlook, Teams, Word, Excel).
• Strong judgment to determine actions quickly.
• Analytical, organized, and good time management.

Responsibilities

• Review coverage, eligibility, enrolment, beneficiary information, and medical reports.
• Calculate eligible benefits and confirm contract provisions.
• Prepare claims system records for payment.
• Communicate decisions to claimants and group clients.
• Assist plan sponsors with queries and help claimants obtain documentation.

Skills

Claims assessment

Medical terminology

Contract interpretation

Communication skills

Empathy

MS Office

Judgment

Analytical skills

Time management

Teamwork

Deadline-driven

Flexibility

Risk assessment

Bilingual English/French

Customer focus

Tools

Outlook

MS Teams

MS Word

Excel

Job description

The Group Benefits Critical Illness team is looking for a customer-focused, forward thinking individual with strong decision-making abilities to join the team as a Critical Illness Claims Assessor. Reporting to the Associate Manager, you will be responsible for the overall review, assessment, calculation and final decision on Critical Illness claims.

Your ability to demonstrate compassion for ill individuals during a difficult time in their lives, while maintaining a level of professionalism and customer focus is a must in this role.

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.

The role being advertised is an existing vacancy.

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 https://www.manulife.com/en/about/our-story.html.

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, 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.