Sr. Claims Analyst
Sr. Claims Analyst
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
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
- Bachelors degree in healthcare administration business or a related field is preferred.
- With industry certifications or exams passed (FLMI etc.)
When you join our team:
Well empower you to learn and grow the career you want.
Well recognize and support you in a flexible environment where well-being and inclusion are more than just words.
As part of our global team well 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 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 .
Working Arrangement
Required Experience:
Senior IC
Employment Type
Full-Time
