Note: The job is a remote job and is open to candidates in USA. Manulife is a leading provider of insurance solutions that meet the diverse financial needs of Canadian families. They are currently seeking a Bilingual Life Claims Adjudicator who will provide exceptional service to clients, review claims and underwriting files, and maintain accurate claim records. The ideal candidate will thrive in a team environment and be motivated to deliver exemplary customer service.
Responsibilities
- Consistently provide exceptional service to customers and non-customers by demonstrating the highest level of professionalism, empathy and through active listening
- Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements; administer policy enhancements, premium waiver and other policy benefits
- 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
- Set up death claim notifications and file responses
- Monitor team inbox for rush request and delegate work as required
Skills
- 1-2+ years' experience in adjudicating claims, would be an asset
- Customer service oriented individual
- Excellent interpersonal skills with good oral and written communication skills for use in dealing with internal and external customers, claimants, brokers, physicians and employees
- 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 and underwriting processes are an asset
- Ability to thrive in a high energy culture
- Continuous improvement mindset
- 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
- Strong analytical skills: evaluate conflicting information from various key sources in order to assess risk in making timely and effective decisions with appropriate
- Adaptability: adapts and stimulates change to achieve the desired results
- Resilience: drives forward towards objectives in the face of adversity and resistance
- Solution Focused: Owns problems through to resolution; makes timely decisions, applies analytic/systematic reasoning to positively impact results, organizational performance and the customer experience
- Exceptional Time Management Skills: Ability to manage high volumes of cases within aggressive deadlines
Benefits
- Health
- Dental
- Mental health
- Vision
- Short- and long-term disability
- Life and AD&D insurance coverage
- Adoption/surrogacy and wellness benefits
- Employee/family assistance plans
- Various retirement savings plans (including pension and a global share ownership plan with employer matching contributions)
- Financial education and counseling resources
- Generous paid time off program in Canada includes holidays, vacation, personal, and sick days
- Full range of statutory leaves of absence
Company Overview
- Manulife is a leading international financial services group that helps people make their decisions easier and lives better. It was founded in 1887, and is headquartered in Toronto, Ontario, CAN, with a workforce of 10001+ employees. Its website is http://www.manulife.com/.