Bilingual Claims Specialist Mortgage Creditor Claims

We are currently seeking a Bilingual Claims Specialist within our Affinity Markets business. As the successful candidate you will be responsible for making sound and accurate decisions in consultation with Management in the settlement and effective management of Affinity Markets Life and Disability Mortgage Creditor claims in compliance with the Company Industry and legislated standards.

Position Responsibilities:

• Provide high-quality cost-effective adjudication services which meet or exceed expectations provided to customers and are in accordance with the terms outlined in the Certificate of Insurance.

• Manage a block of Life and Disability mortgage creditor claims in accordance with consistent claim guidelines in conjunction with the appropriate medical within your authority levels and in accordance with the terms of the Certificate of Insurance. Be alert for fraud or misrepresentation and take necessary steps to verify and resolve where detected. Refer claim decisions which can affect our liability approvals closures denials etc. for sign off and approval before proceeding.

• Evaluate medical employment and mortgage lender documents to determine whether the claim is eligible. Administer and document claims for assessment of continued eligibility for disability benefits return to work bridge payments to the lender while the life claim is being assessed and all requests for additional information.

• Prepare all written correspondence including request for additional information communication of decisions etc.

• Prepare legal file copies and correspondence as needed.

• Participate in 32 hours of continuous learning and development.

• Maintain a sound knowledge of products procedures systems contract wording and claims management.

• Meet objectives and service standards by working with the Manger to ensure that the team goals are met.

• Process applicable accounting and financial transactions associated with payments and the setting of reserves.

• Assist with identification and implementation of improvements to business process and documentation of processes.

Required Qualifications:

• Bilingual (French & English) is required - The successful candidate will be required to communicate in English and French in order to support clients from various jurisdictions outside of Quebec.

• Demonstrated experience interpreting contractual medical financial and legal provisions by utilizing fair claim practices and principles.

• Excellent analytical skills to evaluate conflicting information from various key sources in order to assess risk in making timely and effective decisions with appropriate interpretation of policies and procedures.

Preferred Qualifications:

• Previous experience in adjudicating Life and/or Disability claims is an asset.

• Excellent interpersonal skills with exceptional oral and written communication skills.

• Sound judgement and dispute resolution skills.

• Good working knowledge of medical conditions and terminology.

• Ability to respond constructively and decisively in high pressure or emotional situations and to respond quickly and positively to change.

• Strong organizational conceptual investigative and analytical skills.

• Ability to gather information from key sources to assist in claims decisions and problem solving.

• Ability to work independently and as part of a high functioning team.

• Ability to deal with sensitive and confidential information.

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.

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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 .

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