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Job Description
Claims Adjudicator handles Claims financial processing mainly settlement request. This role is also responsible for identifying paperwork for beneficiary whether In Good Order (IGO) or Not In Good Order (NIGO) and should be followed-up via call out. This role also includes Claims indexing which segregates items from settlements and notifications.
Key Account abilities:
Responsible for creating death benefit package and sending out correspondence to obtain missing documents via fax/mail or email.
Report over-payments, underpayments, and other irregularities.
Processing of high priority Claims Financial transactions involving settlements, identification and closing of policies, freezing of assets and notification to Beneficiaries of settlement requirements.
Identification of transactions that needs to be forwarded back to the Business Unit and/or to other departments/teams
Investigate, evaluate and settle claims, applying technical knowledge and analytical skills which in effect does have fair and prompt disposal of cases and to contribute to a reduced loss ratio.
Perform call task (inbound and/or outbound) in order to facilitate completion of death claims processing
Confer with legal counsel on claims requiring litigation.
Minimum Skills Requirement to Hire:
Minimum Experience:
College/University graduate preferably with previous related work experience in the financial services or call center industry and demonstrated service aptitude
Technical Skills:
Computer literate - ability to use the desktop computer system. Advance knowledge on MS application like Word and Excel.
Booting and shutting down computer, using mouse and keyboard (keyboarding)
Knowledge of browsers and relevant computer applications
Ability to use the phone system/Follows simple instructions on how to log in to the phone system
Basic telephone skills
Soft Skills:
Excellent written and verbal communication skills.
Strong customer service skills (ability to build rapport, demonstrate empathy and outline key steps in delivering good customer service).
Ability to clearly understand and act on presented problem statement; to comprehend, capture as well as interpret basic customer information.
Minimum keyboarding skills of at least 30 words per minute. Exhibits good navigation skills.
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Ability to recommend means of obtaining and analyzing transactional data, as well as evaluate the accuracy of business transactions in accordance with company procedures and contracts.
Ability to work independently and remain self-motivated with minimal direct supervision.
Ability to identify business process improvements and report existing deficiencies to management.
If you are ready to unleash your potential, it’s time to start your career with Manulife/John Hancock.
About Manulife
Manulife Financial Corporation is a leading international financial services group that helps people make their decisions easier and lives better. We operate primarily as John Hancock in the United States and Manulife elsewhere. We provide financial advice, insurance, as well as wealth and asset management solutions for individuals, groups and institutions. At the end of 2018, we had more than 34,000 employees, over 82,000 agents, and thousands of distribution partners, serving almost 28 million customers. As of December 31, 2018, we had over $1.1 trillion (US$794 billion) in assets under management and administration, and in the previous 12 months we made $29.0 billion in payments to our customers.Our principal operations in Asia, Canada and the United States are where we have served customers for more than 100 years. With our global headquarters in Toronto, Canada, we trade as 'MFC' on the Toronto, New York, and the Philippine stock exchanges and under '945' in Hong Kong.Manulife is committed to supporting a culture of diversity and accessibility across the organization. It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will consult with applicants contacted to participate at any stage of the recruitment process who request an accommodation. Information received regarding the accommodation needs of applicants will be addressed confidentially.
