Job Description

We are currently seeking a Bilingual Claims Specialist within our Affinity Markets business. As the successful candidate, you will be responsible for making sound and accurate decisions in consultation with Management, in the settlement and effective management of Affinity Markets Life and Disability, Mortgage Creditor claims in compliance with the Company, Industry and legislated standards.

Position Responsibilities:

Provide high-quality, cost-effective adjudication services which meet or exceed expectations provided to customers and are in accordance with the terms outlined in the Certificate of Insurance. Manage a block of Life and Disability mortgage creditor claims in accordance with consistent claim guidelines, in conjunction with the appropriate medical, within your authority levels and in accordance with the terms of the Certificate of Insurance. Be alert for fraud or misrepresentation and take necessary steps to verify and resolve where detected. Refer claim decisions which can affect our liability, approvals, closures, denials, etc. for sign off and approval before proceeding. Evaluate medical, employment and mortgage lender documents to determine whether the claim is eligible. Administer and document claims for assessment of continued eligibility for disability benefits, return to work, bridge payments to the lender while the life claim is being assessed and all requests for additional information. Prepare all written correspondence, including request for additional information, communication of decisions, etc. Prepare legal file copies and correspondence as needed. Participate in 32 hours of continuous learning and development. Maintain a sound knowledge of products, procedures, systems, contract wording and claims management. Meet objectives and service standards by working with the Manger to ensure that the team goals are met. Process applicable accounting and financial transactions associated with payments and the setting of reserves. Assist with identification and implementation of improvements to business process and documentation of processes.

Required Qualifications:

Bilingual (French & English) is required

- The successful candidate will be required to communicate in English and French in order to support clients from various jurisdictions outside of Quebec. Demonstrated experience interpreting contractual, medical, financial and legal provisions by utilizing fair claim practices and principles. Excellent analytical skills to evaluate conflicting information from various key sources in order to assess risk in making timely and effective decisions with appropriate interpretation of policies and procedures.

Preferred Qualifications:

Previous experience in adjudicating Life and/or Disability claims is an asset. Excellent interpersonal skills with exceptional oral and written communication skills. Sound judgement and dispute resolution skills. Good working knowledge of medical conditions and terminology. Ability to respond constructively and decisively in high pressure or emotional situations and to respond quickly and positively to change. Strong organizational, conceptual, investigative, and analytical skills. Ability to gather information from key sources to assist in claims decisions and problem solving. Ability to work independently and as part of a high functioning team. Ability to deal with sensitive and confidential information.

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.

#LI-HYBRID

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 recruitment@manulife.com .

Referenced Salary Location

CAN, Quebec - Full Time Remote

Working Arrangement

Remote

Salary range is expected to be between

$58,275.00 CAD - $97,125.00 CAD
If you are applying for this role outside of the primary location, please contact recruitment@manulife.com for the salary range for your location. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance.


Manulife offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans. We also offer eligible employees various retirement savings plans (including pension and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in Canada includes holidays, vacation, personal, and sick days, and we offer the full range of statutory leaves of absence. If you are applying for this role in the U.S., please contact recruitment@manulife.com for more information about U.S.-specific paid time off provisions.