Overview
Junior Claims Disability Adjudicator Jobs in Ontario at Manulife
Full job description
We are a leading financial services provider committed to making decisions easier and lives better for our customers and colleagues around the world. From our environmental initiatives to our community investments, we lead with values throughout our business. To help us stand out, we help you step up, because when colleagues are healthy, respected and meaningfully challenged, we all thrive. Discover how you can grow your career, make impact and drive real change with our Winning Team today.
Working Arrangement
Remote
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.
Responsibilities:
Establish and maintain superior customer service to Clients, Sponsors, and Internal Stakeholders
Create a white glove customer experience for our Claimants
You will have adjudication knowledge and experience
Manage ongoing Disability claims and short term Pay and Close Claims by requesting further medical, financial documentation or investigations as required and consult with specialists in all areas.
Excellent phone call etiquette, and ability to conduct Tele-Phone Interviews
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 accuracy of reserve calculations
Job Requirements (Education, Experience, Knowledge, Skills and Proficiencies):
University degree in any discipline or equivalent work experience.
Customer service oriented individual with negotiating skills is essential.
Excellent interpersonal skills with good oral and written communication skills in English for use in dealing with internal and external customers, claimants, brokers, physicians, employees, hospitals, investigators and lawyers.
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 is an asset.
Ability to thrive in a high energy culture.
Good analytical skills to evaluate conflicting information from various ke…
Title: Junior Claims Disability Adjudicator
Company: Manulife
Location: Ontario
Category:
