Senior Travel Claims Specialist
Manulife
•$51,975 - $86,625•Remote
About The Position
Affinity Markets Travel Claims is looking for a highly motivated, quick thinking, and customer-focused individual to join our Travel Claims Risk Management Team. This position requires an expert in travel claims (medical, trip cancellation/interruption, baggage, accidental death and dismemberment, collision damage) for both Affinity Markets and Group Benefit programs. The incumbent will be responsible for mitigating financial, legal, and reputational risks for Manulife. Success in this role depends not only on what you do, but also on how you do it.
Requirements
- 3-5 years’ experience in adjudication claims, preferably life, health or travel.
- Proven analytical, problem solving, decision making, and negotiation skills.
- Exceptional interpersonal skills with a high level of professionalism enabling to build strong relationships and to collaborate effectively.
- Ability to identify potential problems and risks, and be accountable for solutions.
- Exceptional customer service skills with the ability to respond under high pressure or difficult/ sensitive situations.
- Strong organizational skills with the ability to effectively prioritize competing tasks.
Nice To Haves
- University degree in any discipline or equivalent work experience.
- Knowledge of medical terminology, medications and their applications, diseases, tests, and treatment modes is an asset.
- Bilingualism (English and French) is an asset. If the successful candidate is in Québec, proficiency in both languages will be required to support clients from various provinces outside of Quebec.
Responsibilities
- Work with Manulife’s Third Party Providers of emergency medical assistance who are seeking direction and advice on an active case.
- Work with Manulife’s Third Party Providers of claims seeking direction, advice or policy interpretation.
- Make final claims decisions, claims exceptions, and business decisions on contested and contentious claims.
- Handle travel litigated claims including corresponding with internal and external legal counsel, make recommendations on legal strategies and settlement offers, and represent Manulife at legal proceedings (including mediations, arbitrations, examinations for discovery, trials).
- Review and respond to appeals or correspondence submitted by lawyers on behalf of their clients.
- Investigate, resolve, and respond to Escalated Complaints submitted to, but not limited to the President’s Office, the Ombud Liaison Office, Senior Management, Social Media and Insurance Regulators.
- Conduct monthly random and/or focused audits of travel claims (medical, out-of-country medical, visitor-to-Canada, trip cancellation/interruption, baggage, accidental death and dismemberments) and credit card benefits (collision damage, personal effects, extended warranty) processed by Manulife’s Third Party Providers.
- Assist in annual on-site audits of Manulife’s Third Party Providers of claims and assistance and perform follow-ups to ensure appropriate responses and action plans are implemented.
- Provide input on contract wording for new and existing products and plans.
Benefits
- health
- dental
- mental health
- vision
- short- and long-term disability
- life and AD&D insurance coverage
- adoption/surrogacy and wellness benefits
- employee/family assistance plans
- various retirement savings plans (including pension and a global share ownership plan with employer matching contributions)
- financial education and counseling resources
- holidays
- vacation
- personal
- sick days
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Associate degree
