Senior Specialist, Claims

The Senior Specialist in Claims plays a critical role in managing and processing insurance claims with precision and efficiency. This position offers the opportunity to handle complex cases, ensure compliance with company policies and industry regulations, and contribute to continuous process improvement. By leveraging strong analytical skills and customer service expertise, the role supports our mission to deliver accurate, timely, and customer-focused claims resolutions. The successful candidate will also mentor junior staff, collaborate across departments, and gain exposure to strategic claims management and reporting.

Position Responsibilities

• Process and assess medical claims with accuracy and efficiency.
• Communicate effectively with customers to collect required information and provide timely updates.
• Apply medical knowledge to validate and evaluate claims.
• Manage the claims hotline, resolving inquiries and ensuring customer satisfaction.
• Maintain precise data entry and updates in the claims system.
• Collaborate with cross-functional teams to resolve complex claims issues.
• Stay informed on industry regulations and internal policies.
• Prepare detailed reports on claims trends and performance for management review.
• Support and train junior staff or newcomers in claims handling and customer service.
• Handle escalated claims professionally, ensuring resolution aligns with company values.

Required Qualifications

• Minimum 2-3 years of experience in claims processing or a related field.
• Proven experience with data entry systems and customer service platforms (2+ years).
• Bachelor’s degree in business administration, healthcare, medical billing, or a related field.
• No specific licenses required, but relevant certifications are a plus.

Preferred Qualifications

• Background in insurance or medical background to handle healthcare claims.
• Strong analytical and problem-solving abilities.
• Excellent verbal and written communication skills.
• Ability to manage high volumes of inquiries and multitask effectively.
• Experience working both independently and collaboratively in a team setting.

When you join our team:

• We’ll empower you to learn and grow the career you want.
• We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
• As part of our global team, we’ll 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 https://www.manulife.com/en/about/our-story.html.

Manulife 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 [email protected].

Working Arrangement