Claim Verifikator

Manulife John Hancock; Jakarta Pusat; Hybrid; IDR 180,000,000 - 300,000,000; Full time

Job summary

Manulife John Hancock is seeking a Claim Verificator to join our Claims team. You will verify claim information, support investigations, review documents, and coordinate with relevant parties to ensure accuracy and completeness.

You will also prepare verification reports, identify discrepancies, and provide clear findings to support claim assessment and decision-making. Ideal candidates have 3-4 years in claims verification and are detail-oriented and analytical.

Qualifications

• Bachelor's degree in business, criminal justice, or related field.
• Minimum 3-4 years of experience in claims verifications.
• Leadership experience preferred.

Responsibilities

• Lead pricing-related campaign evaluations, including pre-launch assessment, risk review, and post-campaign effectiveness analysis.
• Develop and maintain campaign pricing and effectiveness-review frameworks.
• Collaborate with Distribution, Finance, Risk, and other stakeholders to evaluate initiatives from multiple perspectives.
• Provide analytical support for ad hoc pricing, product, competitive, and business questions.
• Produce clear and actionable insights to support leadership decisions.
• Prepare presentations and reports for business reviews, strategic planning sessions, and leadership meetings.
• Support annual strategic planning, including objectives, product mix targets, product margin assumptions, and new product roadmaps.
• Monitor progress against strategic plans and recommend actions where necessary.
• Contribute to market research, concept testing, pilot pricing models, and business cases for new pricing strategies.
• Coordinate pricing risk reporting and monitor post-launch product and portfolio performance.
• Identify emerging risks and provide recommendations for product optimization and risk mitigation.

Skills

Leadership

Data analysis

Project management

Communication

Claims verification

Education

Bachelor's degree in business, criminal justice, or a related field

Job description

We are looking for a Claim Verificator to join our Claims team. In this role, you will be responsible for verifying claim information and supporting the investigation process by reviewing documents, conducting field or hospital verification when required, and coordinating with relevant parties to ensure claim information is accurate and complete. You will also prepare verification reports, identify any discrepancies or potential concerns, and provide clear findings to support the claim assessment and decision-making process. If you are detail-oriented, analytical, comfortable conducting investigations, and have experience in claims verification or the insurance industry.

Position Responsibilities

• Lead pricing-related campaign evaluations, including pre-launch assessment, risk review, and post-campaign effectiveness analysis.
• Develop and maintain campaign pricing and effectiveness-review frameworks.
• Collaborate with Distribution, Finance, Risk, and other stakeholders to evaluate initiatives from multiple perspectives.
• Provide analytical support for ad hoc pricing, product, competitive, and business questions.
• Produce clear and actionable insights to support leadership decisions.
• Prepare presentations and reports for business reviews, strategic planning sessions, and leadership meetings.
• Support annual strategic planning, including objectives, product mix targets, product margin assumptions, and new product roadmaps.
• Monitor progress against strategic plans and recommend actions where necessary.
• Contribute to market research, concept testing, pilot pricing models, and business cases for new pricing strategies.
• Coordinate pricing risk reporting and monitor post-launch product and portfolio performance.
• Identify emerging risks and provide recommendations for product optimization and risk mitigation.

Required Qualifications

• Bachelor's degree in business, criminal justice, or a related field (or equivalent experience).
• Minimum 3-4 years of experience in claims Verifications, with leadership experience preferred
• Strong leadership and interpersonal skills to motivate and guide your team
• Project management skills to keep Verifications on track and meet deadlines
• Proficiency in data analysis to understand Verification trends and performance

Preferred Qualifications

• Strong communication, coordination, and stakeholder management skills

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.

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] .

Working Arrangement

Hybrid