11 Nov
|
Manulife
|
Canada
We are currently seeking a Bilingual Disability Senior Case Manager for a client based across Canada. Product lines are Individual Disability and Life Waiver of Premium. The successful candidate must be able and willing to work in a team environment and be motivated to maintain exemplary customer service to our clients.
Responsibilities
- Establish and maintain superior customer service to policyholders, agents, marketing centers.
- Manage ongoing claims by requesting further medical, financial documentation or investigations as required and consult with specialists in all areas.
- Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements; administer policy enhancements, premium waiver and other policy benefits.
- Make decisions on claim benefit eligibility determination and communication decisions to stakeholders.
- 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.
Qualifications
- 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): The successful candidate will be required to communicate in English and French in order to support clients from various jurisdictions outside of Quebec.
- Excellent interpersonal skills, with strong oral and written communication skills to interact with internal and external clients, service providers, brokers, physicians, employees, hospitals, investigators, and lawyers.
- 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, with 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 to evaluate risk and make timely, effective decisions.
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 workplace 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.
The role being advertised is an existing vacancy.
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📌 Bilingual Individual Disability Senior Case Manager (Canada)
🏢 Manulife
📍 Canada