Senior Bilingual Disability Claims Manager (Remote)

Manulife/John Hancock; Quebec; Hybrid; CAD 60,000 - 100,000; Full time

Benefits offered by this job

Health

Dental

Mental health

Vision

Disability insurance

Life/AD&D

Adoption/Surrogacy

Wellness benefits

Employee assistance

Retirement plan

Financial counseling

Job summary

Manulife/John Hancock in Canada is seeking a Bilingual Disability Senior Case Manager to support a nationwide client base. The role focuses on Individual Disability and Life Waiver of Premium, requiring collaboration with teams and a commitment to exemplary client service.

You will manage claims, request documentation, review files for disclosures, and communicate decisions to stakeholders, while maintaining accurate records and staying up-to-date with applicable legislation.

Qualifications

• University degree in any discipline or equivalent experience.
• 3+ years of experience in claims adjudication, ideally in disability claims.
• Strong customer service orientation with solid negotiation skills.
• Advanced proficiency in Microsoft Office (Word, Excel, PowerPoint).
• Fully bilingual (French/English): The successful candidate will be required to communicate in English and French in order to support clients from various jurisdictions outside of Quebec.
• Excellent interpersonal skills, with strong oral and written communication skills to interact with internal and external clients, service providers, brokers, physicians, employees, hospitals, investigators, and lawyers.
• Working knowledge of government legislation and legal precedents, the Insurance Act and/or the Civil Code of Québec an asset.
• Strong working knowledge of medical conditions and terminology, with experience interpreting and applying financial documentation and fair claims practices.
• Good understanding of underwriting processes.
• Strong analytical skills to assess conflicting information from multiple sources to evaluate risk and make timely, effective decisions.

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.

Skills

Customer service

Negotiation

MS Office

Bilingual

Interpersonal skills

Insurance law knowledge

Medical terminology

Underwriting

Analytical abilities

Education

University degree in any discipline

Tools

Microsoft Office

Job description

Manulife/John Hancock in Canada is seeking a Bilingual Disability Senior Case Manager to support a nationwide client base. The role focuses on Individual Disability and Life Waiver of Premium, requiring collaboration with teams and a commitment to exemplary client service.

You will manage claims, request documentation, review files for disclosures, and communicate decisions to stakeholders, while maintaining accurate records and staying up-to-date with applicable legislation.