Sr. Claims Analyst

This Sr. Claims Analyst position is responsible for the overall review, assessment, and decision of claims.

Position Responsibilities

• Determine eligible benefits based on documents submitted and policy provisions.
• Adjudicate claims and determine corresponding recommendation or decision within prescribed approval limits and within the defined turnaround time.
• Ensure accurate benefit payouts and checking are being done in accordance with the policy details, laws, and regulations.
• Assist the Claims Manager in resolving claims-related issues and/or concerns.
• Discuss claim decisions with complaints team, distributors and/or customers whenever necessary.
• Assist junior adjudicators with complex claims beyond their authorities.
• Escalate possible fraudulent claims to the Team Lead and recommend appropriate action.
• Maintain accurate records of claims, communications, and resolutions in the claims management system.
• Actively participate in and contribute to projects and initiatives.
  
  

Required Qualifications

• At least three (3) years’ experience in life claims processing, insurance, or a related field
• Bachelor’s degree in healthcare administration, business, or a related field is preferred.
• With industry certifications or exams passed (FLMI, etc.)
  
  

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.
  
  

About Manulife And John Hancock

Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit https://www.manulife.com/en/about/our-story.html.

Manulife is an Equal Opportunity Employer

At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact [email protected].

Working Arrangement

Hybrid