Manulife
Financial Services
BilingualClaimsAdjudicator
Neural analysis suggests this role is
optimal for Mid candidates.
“Bilingual Claims Adjudicator at Manulife. Skills: Claims adjudication, Customer service, Bilingualism. Establish and maintain superior customer service. Manage ongoing claims”
What You'll Achieve.
Maintain exemplary customer service; Ensure accuracy of reserve calculations
Industry & Context.
Think outside of the box; Provide solutions; Identify opportunities to improve processes; Analytical skills; Find solutions
What They're Looking For.
Must Have
Fully bilingual (French/English), 2-3+ years’ experience in adjudicating claims
Nice to Have
University degree in any discipline or equivalent work experience in the insurance industry, Customer service oriented individual, Excellent interpersonal skills, Good oral and written communication skills, Good working knowledge of medical conditions and terminology, Experience in the interpretation and application of financial documentation, Experience in fair claims practices, Ability to respond constructively and decisively in high pressure or emotional situations, Ability to respond positively to change, Working knowledge of government legislation and legal precedents, Working knowledge of the Insurance Act and/or Quebec Civil Code, Good working knowledge of the underwriting process, Ability to thrive in a high energy culture, Good analytical skills, Proven ability to make decisions and handle pressure, Continuous improvement mindset, Ability to effectively communicate client and business impact, Ability to clearly articulate business needs between technical and non-technical resources, Ability to present strategy and vision to management, Strategic thinker, Ability to think conceptually beyond day-to-day business realities, Ability to effectively consider downstream impacts, Proven ability to build relationships, Collaboration, Accountable, Find solutions, Passion for effortless customer service, Open to diverse perspectives
What You'll Do.
Establish and maintain superior customer service
Manage ongoing claims
financial documentation
Consult with specialists
Review claims and underwriting files
Administer policy enhancements
Make decisions on claim benefit eligibility
Communicate decisions to stakeholders
Document the claim file
Obtain proper file information
Maintain claim records on system
How You'll Work.
Team & Collaboration
Work in a team environment; Collaboration
Communication Scope
Oral communication skills; Written communication skills; Communicate client and business impact; Articulate business needs; Present strategy and vision
Full Job Description
Are you looking for unlimited opportunities to develop and succeed? With work that challenges and makes a difference and a flexible and supportive environment, we can help our customers achieve their dreams and aspirations. To be successful in our claims department you must have a passion for making a difference in our customers lives! You will be a dynamic, positive, customer service focused and creative individual in your work. You will also need to have an aptitude and demonstrated ability to think outside of the box to provide solutions and identify opportunities to improve our processes and customer experience. You are a change-maker, innovative, resourceful and thrive on pushing our company forward with fresh ideas. You are hungry for success, and we foster a working environment where you can grow your skills and achieve your goals. We are currently seeking a Bilingual Disability Claims Adjudicator for a client base across Canada. Product lines include Personal Accident Disability and Financial Institutions. The successful candidate must be able/willing to work in a team environment and be motivated to maintain exemplary customer service to our clients. **Position 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
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