[Hiring] Critical Illness Claims Assessor @Manulife

Role Description

The Group Benefits Critical Illness team is looking for a customer-focused, forward-thinking individual with strong decision-making abilities to join the team as a Critical Illness Claims Assessor. Reporting to the Associate Manager, you will be responsible for the overall review, assessment, calculation, and final decision on Critical Illness claims.

Your ability to demonstrate compassion for ill individuals during a difficult time in their lives, while maintaining a level of professionalism and customer focus is a must in this role.

Position Responsibilities:

• Review coverage, eligibility, enrolment, beneficiary information, and supporting medical reports.
• Confirm contract provisions and calculate eligible benefits.
• Prepare claims system records for payment.
• Communicate decisions to claimants and group clients.
• Assist plan sponsors with queries and support claimants in acquiring vital documentation.

Qualifications

• Previous Life/disability claims experience would be beneficial.
• Understanding of medical terminology.
• Interpretation of contractual wording.
• Excellent communication skills with the ability to influence internal and external clients at all levels.
• Ability to demonstrate empathy.
• Strong Microsoft Office skills (Outlook, Teams, MS Word, and Excel).
• Excellent judgment - the ability to recognize quickly what needs to be done in order to satisfy expectations.
• Validated analytical, organization, time management, and decision-making skills.
• Ability to work efficiently individually and with a team.
• Proven track record to prioritize and meet deadlines and specific turn-around times.
• Flexibility to adapt to change and work additional hours as business needs require.
• Ability to assess risk with each decision.

Requirements

• Bilingual (French & English) preferred - The successful candidate may be required to communicate in English and French in order to support clients from various jurisdictions.
• Insurance industry experience specifically with Group Benefits preferred.

Benefits

• 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.
• Various retirement savings plans (including pension and a global share ownership plan with employer matching contributions).
• Financial education and counseling resources.
• Generous paid time off program in Canada, including holidays, vacation, personal, and sick days.
• Full range of statutory leaves of absence.