Individual Disability Senior Case Manager

Manulife • Quebec, ON

5d • CA$59,100 - CA$98,500 • Remote

About The Position

We are currently seeking a Disability Senior Case Manager for a client base across Canada. Product lines are Individual Disability and Life Waiver of Premium. The successful candidate must be able and willing to work in a team environment and be motivated to maintain exemplary customer service to our clients.

Requirements

• University degree in any discipline or equivalent experience
• 2–3+ years of experience in claims adjudication, ideally in disability claims
• Strong customer service orientation with solid negotiation skills
• Excellent interpersonal skills, with strong oral and written English communication skills to interact with internal and external clients, service providers, brokers, physicians, employees, hospitals, investigators, and lawyers
• Strong working knowledge of medical conditions and terminology, with experience interpreting and applying financial documentation and fair claims practices
• Good understanding of underwriting processes
• Strong analytical skills to assess conflicting information from multiple sources to evaluate risk and make timely, effective decisions

Nice To Haves

• Bilingualism (French and English) is an asset; if bilingual, the successful candidate will be required to communicate in both languages to support clients in jurisdictions outside Quebec
• Working knowledge of government legislation and legal precedents, the Insurance Act and/or the Civil Code of Québec (asset)
• Demonstrated ability to make decisions and work under pressure
• Continuous improvement mindset
• Ability to respond constructively and decisively in high-pressure or emotional situations and adapt positively to change
• Ability to thrive in a dynamic, fast-paced work culture

Responsibilities

• 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

Benefits

• 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.
• various retirement savings plans (including pension and a global share ownership plan with employer matching contributions) and financial education and counseling resources.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior