Bilingual Life Claims Adjudicator

Job Description

Manulife Insurance business unit is a leading provider of insurance solutions that meet the diverse financial needs of Canadian families. In collaboration with independent financial advisors across the country, we offer a suite of innovative wealth and protection solutions, including: segregated funds, mutual funds, annuities, guaranteed interest contracts, individual life insurance and one of the most comprehensive living benefit portfolios in the industry which includes critical illness, long-term care and disability products. We are currently seeking an Intermediate Claims Adjudicator and Administrator for our client base across Canada. Empathic, professional, highly organized and tenacious, the successful candidate thrives in a team environment and is motivated to maintain exemplary customer service to our clients when it matters most. Position Responsibilities: Consistently provide exceptional service to customers and non-customers by demonstrating the highest level of professionalism, empathy and through active listening Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements; administer policy enhancements, premium waiver and other policy benefits 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 Set up death claim notifications and file responses Monitor team inbox for rush request and delegate work as required Required Qualifications: 1-2 years’ experience in adjudicating claims, would be an asset. Customer service oriented individual. Excellent interpersonal skills with good oral and written communication skills for use in dealing with internal and external customers, claimants, brokers, physicians and employees. 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 and underwriting processes are an asset Ability to thrive in a high energy culture Continuous improvement mindset Fully bilingual (French/English): The successful candidate will be required to communicate in English and French in order to support clients from various jurisdictions outside of Quebec Preferred Qualifications: Strong analytical skills: evaluate conflicting information from various key sources in order to assess risk in making timely and effective decisions with appropriate Adaptability: adapts and stimulates change to achieve the desired results Resilience: drives forward towards objectives in the face of adversity and resistance Solution Focused: Owns problems through to resolution; makes timely decisions, applies analytic/systematic reasoning to positively impact results, organizational performance an

Required Skills