[Remote] Bilingual Life Claims Adjudicator

Note: The job is a remote job and is open to candidates in USA. Manulife is a leading provider of insurance solutions that meet the diverse financial needs of Canadian families. They are currently seeking a Bilingual Life Claims Adjudicator who will provide exceptional service to clients, review claims and underwriting files, and maintain accurate claim records. The ideal candidate will thrive in a team environment and be motivated to deliver exemplary customer service.

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

Skills

• 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
• 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 and the customer experience
• Exceptional Time Management Skills: Ability to manage high volumes of cases within aggressive deadlines

Benefits

• Health
• Dental
• Mental health
• Vision
• Short- and long-term disability
• Life and AD&D insurance coverage
• Adoption/surrogacy and wellness benefits
• 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 includes holidays, vacation, personal, and sick days
• Full range of statutory leaves of absence

Company Overview