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Manulife Claims Analyst in Makati City, Philippines

We are a leading financial services provider committed to making decisions easier and lives better for our customers and colleagues around the world. From our environmental initiatives to our community investments, we lead with values throughout our business. To help us stand out, we help you step up, because when colleagues are healthy, respected and meaningfully challenged, we all thrive. Discover how you can grow your career, make impact and drive real change with our Winning Team today.

Working Arrangement

Hybrid

Job Description

The opportunity

The Claim Analyst position is responsible for the overall review, assessment, and decision of claims.

Responsibilities:

  • Determine eligible benefits based on documents submitted and policy provisions.

  • Adjudicate claims and determine corresponding recommendation or decision within prescribed approval limits and within the defined turnaround time.

  • Ensure accurate benefit payouts in accordance with the policy details, laws and regulations.

  • Discuss claim decisions with distributors whenever necessary.

  • Escalate possible fraudulent claims to the Team Lead and recommend appropriate action.

Skill Set

  • Excellent written and oral communication skills

  • Highly analytical

  • Excellent understanding of life insurance policy provisions

  • With good understanding of medical terms and common illnesses

  • With knowledge and understanding of insurance laws and regulations

  • Quick thinker and can work independently under pressure

Competencies

  • Able to communicate clearly and effectively with peers and higher management

  • Able to assess complex medical claims

  • Can decide on complex medical claims based on information gathered, product provisions and applicable insurance laws

  • Able to clearly explain the rationale behind claim decisions

  • Can identify and recommend improvements to systems and processes

Key Results Area:

  • 99% accuracy of claim decisions

  • 90% SLA attainment

Key Behaviors:

  • Effective collaborator

  • Team player

  • Customer-centric

  • Proactive

  • Good communicator

How will you create impact?

This position will be directly reporting to Individual Claims Lead

What motivates you?

  • You obsess about customers, listen, engage and act for their benefit.

  • You think big, with curiosity to discover ways to use your agile approach and enable business outcomes.

  • You thrive in teams and enjoy getting things done together.

  • You take ownership and build solutions, focusing on what matters.

  • You do what is right, work with integrity and speak up.

  • You share your humanity, helping us build a diverse and inclusive work environment for everyone.

What we are looking for

  • At least three (3) years experience in life and health claims

  • Graduate of any four-year course; a medical course or legal background would be an advantage

  • With industry certifications or exams passed (ALMI, etc.)

What can we offer you?

  • A competitive salary and benefits packages.

  • A growth trajectory that extends upward and outward, encouraging you to follow your passions and learn new skills.

  • A focus on growing your career path with us.

  • Flexible work policies and strong work-life balance.

  • Professional development and leadership opportunities.

Our commitment to you

  • Values-first cultureWe lead with our Values every day and bring them to life together.

  • Boundless opportunityWe create opportunities to learn and grow at every stage of your career.

  • Continuous innovationWe invite you to help redefine the future of financial services.

  • Delivering the promise of Diversity, Equity and InclusionWe foster an inclusive workplace where everyone thrives.

  • Championing Corporate CitizenshipWe build a business that benefits all stakeholders and has a positive social and environmental impact.

About Manulife and John Hancock

Manulife Financial Corporation is a leading international financial services group that helps people make their decisions easier and lives better. With our global headquarters in Toronto, Canada, we operate as Manulife across our offices in Asia, Canada, and Europe, and primarily as John Hancock in the United States. We provide financial advice, insurance, and wealth and asset management solutions for individuals, groups and institutions. At the end of 2022, we had more than 40,000 employees, over 116,000 agents, and thousands of distribution partners, serving over 34 million customers. At the end of 2022, we had $1.3 trillion (US$1.0 trillion) in assets under management and administration, including total invested assets of $0.4 trillion (US $0.3 trillion), and segregated funds net assets of $0.3 trillion (US$0.3 trillion). We trade as ‘MFC’ on the Toronto, New York, and the Philippine stock exchanges, and under ‘945’ in Hong Kong.

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 .

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