Claims Analyst
Manulife
_We’re looking for a_ **_Claims Analyst_** _to join our Insurance Operations team at MBPS. In this role, you are responsible for the overall review, assessment, and decision on payment for claims._
**Position Responsibilities:**
+ Responsible for the complete assessment, calculation and final decision on claims (ex. Group life, AD&D, Survivor Income claims, TDMI, Personal Benefits as well as Compassionate Assistance Program loans.
+ Adjudicate and make independent decisions on non-contestable and contestable claims (i.e. Evidence of Insurability (E of I) and pre-existing conditions) within defined authority levels.
+ Operates within well-defined guidelines and processes/practices for routine claims. Identify invalid claims, detect fraud or misrepresentation and identify unusual facts to minimize liability of paying multiple claims Identify rival claim situations, take necessary steps and work with internal legal department for Payment into Court.
+ Review and interpret policy contracts, procedures and administrative systems to determine the total death benefit payable, tax implications and any continuing coverage options available.
+ Correspond with internal life moments team, beneficiaries, lawyers, advisors and executors on requirements and outstanding issues.
+ Provide on the job training to new approvers on non-contestable and contestable claims processing and procedures.
+ Responsible for communicating to internal partners as appropriate (i.e. Life Moments, Admin Advantage, Regional Group Offices (RGO.)
+ Ensuring excellence in customer service by answering questions of interested parties (internal/external) re processes/procedures prior to claims submissions (i.e. review of beneficiary designations, process/procedures etc.)
+ Responsible for identifying claims which fall within Unclaimed Property guidelines and following appropriate steps.
+ Dealing with conflicts effectively (i.e. beneficiary/advisor/ rival claim situations/internal partners challenging our request for medical, legal or claims requirements)
+ Ensuring proper requirements and service standards are met, especially when volumes are high Keeping current with new systems and products
+ Recognizing unusual or non-routine claims outside of procedures that require special investigation or handling
**Required Qualifications:**
+ Minimum of 2 years in a relevant back-office role, with at least 6 months of experience in voice call handling.
+ Familiarity in Microsoft Office (Excel, Word, Outlook).
+ Strong verbal and written communication skills.
+ College degree or equivalent business experience.
**Preferred Qualifications:**
+ Analytical and problem-solving skills, including strong attention to detail, to identify unusual claims and interpret policy contracts.
+ Good understanding of Insurance and claims systems and products
+ Familiarity with medical terminology (i.e. Assessment of covered losses under accidental dismemberment, CAP loans, Evidence of Insurability and pre-existing investigations, TDMI).
+ Knowledge of accounting, tax and legal implications relating to claims.
+ Excellent customer service skills and demonstrated empathy to deal with sensitive information and grieving customers
+ Organizational skills to be able to work in a high volume, fast-paced environment
**_When you join our team:_**
+ We’ll empower you to learn and grow the career you want.
+ We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
+ As part of our global team, we’ll support you in shaping the future you want to see.
**Acerca de Manulife y John Hancock**
Manulife Financial Corporation es un importante proveedor internacional de servicios financieros que ayuda a las personas a tomar decisiones de una manera más fácil y a vivir mejor. Para obtener más información acerca de nosotros, visite http://www.manulife.com .
**Manulife es un empleador que ofrece igualdad de oportunidades**
En Manulife/John Hancock, valoramos nuestra diversidad. Nos esforzamos por atraer, formar y retener una fuerza laboral tan diversa como los clientes a los que prestamos servicios, y para fomentar un entorno laboral inclusivo en el que se aprovechen las fortalezas de las culturas y las personas. Estamos comprometidos con la equidad en las contrataciones, la retención de talento, el ascenso y la remuneración, y administramos todas nuestras prácticas y programas sin discriminación por motivos de raza, ascendencia, lugar de origen, color, origen étnico, ciudadanía, religión o creencias religiosas, credo, sexo (incluyendo el embarazo y las afecciones relacionadas con este), orientación sexual, características genéticas, condición de veterano, identidad de género, expresión de género, edad, estado civil, estatus familiar, discapacidad, o cualquier otro aspecto protegido por la ley vigente.
Nuestra prioridad es eliminar las barreras para garantizar la igualdad de acceso al empleo. Un representante de Recursos Humanos trabajará con los solicitantes que requieran una adaptación razonable durante el proceso de solicitud. Toda la información que se haya compartido durante el proceso de solicitud de adaptación se almacenará y utilizará de manera congruente con las leyes y las políticas de Manulife/John Hancock correspondientes. Para solicitar una adaptación razonable en el proceso de solicitud, envíenos un mensaje a recruitment@manulife.com .
**Modalidades de Trabajo**
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