Bilingual Senior Case Manager adjudicating individual disability and life waiver claims for Manulife, a global financial services provider.
Managing claims documentation, eligibility decisions, policy benefits, and reserve accuracy for Canadian policyholders.
Responsibilities
Establish and maintain superior customer service for policyholders, agents, and marketing centers
Manage ongoing claims by requesting medical and financial documentation or investigations as required
Consult with specialists in all relevant areas
Review claims and underwriting files for disclosure of past medical history, exclusions, riders, and endorsements
Administer policy enhancements, premium waiver, and other policy benefits
Determine claim benefit eligibility and communicate decisions to stakeholders
Document claim files to maintain accurate records of claim-handling events
Obtain required file information and review policy provisions to verify eligibility
Maintain claim records accurately in the system to ensure accurate reserve calculations
Requirements
University degree in any discipline or equivalent experience
2–3+ years of experience in claims adjudication, ideally in disability claims
Strong customer service orientation and solid negotiation skills
Advanced proficiency in Microsoft Office, including Word, Excel, and PowerPoint
Fully bilingual in French and English
Excellent interpersonal skills
Strong oral and written communication skills
Working knowledge of government legislation and legal precedents, with knowledge of the Insurance Act and/or Civil Code of Québec an asset
Strong working knowledge of medical conditions and terminology
Experience interpreting and applying financial documentation and fair claims practices
Good understanding of underwriting processes
Strong analytical skills to assess conflicting information, evaluate risk, and make timely decisions
Benefits
Incentive programs and incentive compensation tied to business and individual performance
Health insurance
Dental coverage
Mental health benefits
Vision coverage
Short- and long-term disability insurance coverage
Life and AD&D insurance coverage
Adoption/surrogacy benefits
Wellness benefits
Employee/family assistance plans
Retirement savings plans
Pension
Global share ownership plan with employer matching contributions
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