Manulife Business Processing Services
ClaimsAnalyst
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“Claims Analyst at Manulife Business Processing Services. Skills: Claims processing, Evaluating coverage, Adjudicating claims, Data accuracy, Compliance, Stakeholder collaboration. Handle end-to-end Life and Health claims processing. Evaluate coverage”
What You'll Achieve.
Accurately within set turnaround times and guidelines; Meeting performance KPIs; Handling high claim volumes efficiently; Meeting performance targets on turnaround time, accuracy, productivity, and quality
Industry & Context.
Ability to apply critical thinking and problem-solving skills in a work environment
Fixed day shift schedule
What They're Looking For.
Must Have
1–2 years of back-office experience in a BPO setting, including data entry, document handling, and administrative support, Open to fresh graduates with a Bachelor’s degree, Undergraduates are welcome, provided they have at least 2 years of relevant BPO, back-office, or administrative experience, Must be amenable to a fixed day shift schedule
Nice to Have
Background in medical-related courses (e. g. , Nursing, Biology, Allied Health, Pharmacy) is an advantage but not required, Proficiency in Microsoft tools, Demonstrates effective communication skills, both verbal and written, with the ability to clearly convey information and ideas to diverse audiences, Ability to apply critical thinking and problem-solving skills in a work environment
What You'll Do.
Handle end-to-end Life and Health claims processing
Validate medical documentation
Adjudicate claims accurately within set turnaround times and guidelines
Identify discrepancies or fraud indicators
Ensure data accuracy and compliance with internal policies and data privacy standards
Meet performance KPIs
Handle high claim volumes efficiently
Collaborate with stakeholders
Maintain professionalism and customer-centric communication
Analyze medical documents and supporting evidence
Escalate complex or high-risk cases
Maintain accurate data entry
Maintain thorough documentation
Maintain audit-ready records
Ensure compliance with data privacy and security standards
Meet performance targets on turnaround time
Communicate claim decisions clearly
How You'll Work.
Team & Collaboration
Collaborating with stakeholders; Collaborates with internal stakeholders
Communication Scope
Effective communication skills, both verbal and written; Ability to clearly convey information and ideas to diverse audiences; Communicates claim decisions clearly; Customer-centric communication
Full Job Description
_We’re looking for a**Claims Analyst**_ _to join our Insurance Operations team at MBPS. In this role, you are expected to_ _handle end-to-end Life and Health claims processing, including evaluating coverage, validating medical documentation, and adjudicating claims accurately within set turnaround times and guidelines. It requires strong attention to detail in reviewing documents, identifying discrepancies or fraud indicators, and ensuring data accuracy and compliance with internal policies and data privacy standards. The position also emphasizes meeting performance KPIs, handling high claim volumes efficiently, and collaborating with stakeholders while maintaining professionalism and customer-centric communication._ **Position Responsibilities:** * Handles end-to-end Life and Health claims processing, including reviewing policies, validating coverage, and adjudicating claims within defined turnaround times. * Analyzes medical documents and supporting evidence to ensure accuracy, legitimacy, and alignment with coverage and internal guidelines. * Identifies discrepancies, potential fraud, or overbilling, and escalates complex or high-risk cases following established protocols. * Maintains accurate data entry, thorough documentation, and audit-ready records while ensuring compliance with data privacy and security standards. * Meets performance targets on turnaround time, accuracy, productivity, and quality while managing high claim volumes efficiently. * Collaborates with internal stakeholders and communicates claim decisions clearly, balancing customer empathy with policy compliance and risk management. **Required Qualifications:** * Requires 1–2 years of back-office experience in a BPO setting, including data entry, document handling, and administrative support. * Open to fresh graduates with a Bachelor’s degree. * Undergraduates are welcome, provided they have at least 2 years of relevant BPO, back-office, or administrative experience. * Background in medical-relat
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