Senior Case Manager adjudicating individual disability and life waiver claims for Manulife, a global financial services provider. Supporting bilingual policyholders, agents, and stakeholders across Canada.
Responsibilities
Establish and maintain superior customer service to policyholders, agents, and marketing centers.
Manage ongoing claims by requesting further medical or financial documentation and investigations as required.
Consult with specialists in all areas.
Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, and endorsements.
Administer policy enhancements, premium waiver, and other policy benefits.
Make decisions on claim benefit eligibility and communicate decisions to stakeholders.
Document claim files to ensure an accurate record of events during claim handling.
Obtain proper file information and review policy provisions to verify eligibility.
Accurately maintain claim records in the system to ensure accurate reserve calculations.
Requirements
University degree in any discipline or equivalent experience.
3+ years of experience in claims adjudication, ideally in disability claims.
Strong customer service orientation with solid negotiation skills.
Advanced proficiency in Microsoft Office (Word, Excel, PowerPoint).
Fully bilingual (French/English); required to communicate in English and French to support clients from various jurisdictions outside of Quebec.
Excellent interpersonal skills, with strong oral and written communication skills.
Working knowledge of government legislation and legal precedents, the Insurance Act and/or the 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 from multiple sources, evaluate risk, and make timely, effective decisions.
Ability and willingness to work in a team environment.
Benefits
Flexible environment supporting well-being and inclusion
Health insurance
Dental insurance
Mental health benefits
Vision insurance
Short- and long-term disability insurance
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
Financial education and counseling resources
Paid holidays
Vacation
Personal days
Sick days
Statutory leaves of absence
Incentive programs and incentive compensation tied to business and individual performance
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