Claims Analyst

We’re looking for a Claims Analyst to join our Insurance Operations team at MBPS. In this role, you are expected to handle end-to-end Life and Health claims processing, including evaluating coverage, validating medical documentation, and adjudicating claims accurately within set turnaround times and guidelines. It requires strong attention to detail in reviewing documents, identifying discrepancies or fraud indicators, and ensuring data accuracy and compliance with internal policies and data privacy standards. The position also emphasizes meeting performance KPIs, handling high claim volumes efficiently, and collaborating with stakeholders while maintaining professionalism and customer-centric communication.  

Position Responsibilities: 

• Handles end-to-end Life and Health claims processing, including reviewing policies, validating coverage, and adjudicating claims within defined turnaround times.
• Analyzes medical documents and supporting evidence to ensure accuracy, legitimacy, and alignment with coverage and internal guidelines.
• Identifies discrepancies, potential fraud, or overbilling, and escalates complex or high-risk cases following established protocols.
• Maintains accurate data entry, thorough documentation, and audit-ready records while ensuring compliance with data privacy and security standards.
• Meets performance targets on turnaround time, accuracy, productivity, and quality while managing high claim volumes efficiently.
• Collaborates with internal stakeholders and communicates claim decisions clearly, balancing customer empathy with policy compliance and risk management.

Required Qualifications: 

• Requires 1–2 years of back-office experience in a BPO setting, including data entry, document handling, and administrative support.
• Open to fresh graduates with a Bachelor’s degree.
• Undergraduates are welcome, provided they have at least 2 years of relevant BPO, back-office, or administrative experience.
• Background in medical-related courses (e.g., Nursing, Biology, Allied Health, Pharmacy) is an advantage but not required.
• Must be amenable to a fixed day shift schedule.

Preferred Qualifications: 

• Proficiency in Microsoft tools 
• Demonstrates effective communication skills, both verbal and written, with the ability to clearly convey information and ideas to diverse audiences. 
• Ability to apply critical thinking and problem-solving skills in a work environment. 

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 hr@manulife.com.

Hybrid