Individual Disability Claims Adjudicator

at  Manulife

Are you looking for unlimited opportunities to develop and succeed? With work that challenges and makes a difference and a flexible and supportive environment, we can help our customers achieve their dreams and aspirations.
To be successful in our claims department you must have a passion for making a difference in our customers lives! You will be a dynamic, positive, customer service focused and creative individual in your work. You will also need to have an aptitude and demonstrated ability to think outside of the box to provide solutions and identify opportunities to improve our processes and customer experience. You are a change-maker, innovative, resourceful and thrive on pushing our company forward with fresh ideas. You are hungry for success and we foster a working environment where you can grow your skills and achieve your goals.
We are currently seeking an Individual Disability Cla ims Adjudicator for a client base across Canada. Product lines include Individual Disability, Critical Illness, Life Waiver of Premium and Long Term Care Policies. The successful candidate must be able/willing to work in a team environment and be motivated to maintain exemplary customer service to our clients.

• 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