Claims History Specialist
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Job Location:
Monthly Salary:
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
We are looking for a detailoriented and analytical Claims History Specialist to join our Claims this role you will ensure accurate and timely continuity of claims dataincluding drug history DIN exceptions and prior authorization statusesto protect members from treatment interruptions and claim denials. You will play a direct role in improving the member experience and supporting Manulifes mission of making decisions easier and lives better. This opportunity offers the chance to build expertise in a specialized operational function while contributing to highimpact client and member outcomes.
Position Responsibilities:
Load review and validate claims history using mainframe systems and automation tools.
Organize and scrub data files from multiple sources to ensure accuracy and system acceptance.
Coordinate with Implementation Managers to meet claims history requirements for onboarding spinoffs and restructures.
Apply knowledge of health dental and drug claims programs to code DIN exceptions and manage continuity scenarios.
Ensure timely accurate and highquality processing to meet internal SLAs and reduce client impact.
Support proactive workflows that improve member outcomes and reduce rework.
Required Qualifications:
Experience in group benefits health and dental claims (typically 23 years).
Strong Excel proficiency with experience cleaning organizing and validating datasets.
Demonstrated attention to detail and accuracy in data processing.
Postsecondary education in a related field or equivalent experience.
Preferred Qualifications:
Experience coding DIN exceptions reviewing drug histories or handling prior authorization statuses.
Familiarity with mainframe systems used in claims processing.
Knowledge of Manulife systems internal migrations or onboarding processes.
Experience working with SOPs QA frameworks or SLAs.
Ability to adapt to complex workflows and evolving business requirements.
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 wellbeing 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 .
Referenced Salary Location
Waterloo OntarioWorking Arrangement
Salary range is expected to be between
$51975.00 CAD - $86625.00 CADIf you are applying for this role outside of the primary location please contact for the salary range for your location. The actual salary will vary depending on local market conditions geography and relevant job-related factors such as knowledge skills qualifications experience and education/training. Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance.
Manulife offers eligible employees a wide array of customizable benefits including health dental mental health vision short- and long-term disability life and AD&D insurance coverage adoption/surrogacy and wellness benefits and employee/family assistance plans. We also offer eligible employees various retirement savings plans (including pension and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in Canada includes holidays vacation personal and sick days and we offer the full range of statutory leaves of absence. If you are applying for this role in the U.S. please contact for more information about U.S.-specific paid time off provisions.
Required Experience:
IC
Key Skills
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About Company
Manulife is a leading financial services group. We provide financial advice, insurance, as well as wealth and asset management solutions for individuals, groups and institutions.
