Life Claims Assessor
| Company | Manulife |
|---|---|
| Location | Ontario, Canada, Nova Scotia, Canada |
| Salary | $41700 – $69500 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Junior, Mid Level |
Requirements
- Validated experience within Insurance industry specifically with Group Benefits preferred
- Previous Life/disability claims experience would be beneficial
- Understanding of medical terminology
- Interpretation of contractual wording
- Excellent communication skills with the ability to influence internal and external clients at all levels
- Ability to demonstrate empathy for grieving families
- Strong Microsoft Office skills (Outlook, Teams, MS Word and Excel)
- Excellent judgment – the ability to recognize quickly what needs to be done in order to satisfy the expectations
- Proven analytical, organization, time management and decision-making skills
- Ability to work efficiently individually and with a team
- Proven track record to prioritize and meet deadlines and specific turn-around times
- Flexibility to adapt to change and work additional hours as business needs require
- Ability to assess risk with each decision
Responsibilities
- Review of plan member or dependent coverage and eligibility
- Confirmation of the contract provisions in effect for each claim
- Verification of enrolment and beneficiary information
- Review of proof of death (loss) documents
- Review of supporting medicalpoliceinvestigative reports
- Calculation of eligible benefit
- Preparation of claims system records, vital to record and pay the claim.
- Communicate decisions to claimants or beneficiaries, and group clients
- Assist plan sponsors with queries regarding beneficiary appointments on enrolment, and requirements for submission of claim
- Provide support to beneficiaries/family members in acquiring necessary documentation.
Preferred Qualifications
- Validated experience within Insurance industry specifically with Group Benefits preferred
- Previous Life/disability claims experience would be beneficial