The Group Benefits Operations Integrity Department whose accountabilities include Fraud Risk Management for health, dental, drug and disability claims is looking for an analytical, self-motivated individual with strong disability management knowledge and a risk mindset to join them in the role of Disability Integrity Specialist on the Disability Integrity Operations Team.
Position Responsibilities:
Identify potential fraud and abuse issues and manage these investigations from identification to resolution.
Collaborate with case managers, and others to ensure all appropriate parties understand next steps to maintain the integrity of the fraud investigation.
Dialogue with parties, including legal, privacy, compliance, investigators, police, vendors and customers assessing risk and bringing cases to conclusion.
Utilize a variety of tools for fraud detection and tracking and support various reporting needs as required.
Engage in opportunities to create efficiencies and improve processes through collaboration with direct Team and others.
Calculate overpayments, log savings, and document recovery plans.
Support fraud management projects including analytics.
Required Qualifications:
Bilingual (French & English) is required - The successful candidate will be required to communicate in English and French in order to support clients from various jurisdictions outside of Quebec.
Extensive disability management knowledge, ideally min. 5 years across benefit lines (STD, and LTD).
Solid contract knowledge.
Excellent communication skills both written and verbal.
Experience with Microsoft Excel, Word and PowerPoint.
Preferred Qualifications:
Ability to translate complex ideas into easily understood terms.
Excellent interpersonal and collaborative skills with the ability to influence and negotiate, with internal and external partners.
Analytical, research, problem solving and decision-making skills.
Strategic thinker (experience weighing risks vs. benefits while seeing the big picture objective of managing fraud risk).
Strong attention to detail (comprehensive case assessments).
Analytical and risk minded.
Works well both independently and in a Team environment.
Well organized and adaptable to changing/competing priorities.
Seeks out opportunities to enhance processes and outcomes.
Collaborates well with Team and across Teams.
Creates Action Plans and acts quickly on outlined tasks so that cases are managed timely.
Confidently has contentious conversations while maintaining professionalism.
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.
#LI-REMOTE
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.
Working Arrangement
Salary & Benefits
Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. If you are applying for this role outside of the primary location, please contact hr@manulife.com for the salary range for your location.
Manulife offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans. We also offer eligible employees various retirement savings plans (including pension and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in Canada includes holidays, vacation, personal, and sick days, and we offer the full range of statutory leaves of absence. If you are applying for this role in the U.S., please contact hr@manulife.com for more information about U.S.-specific paid time off provisions.