Sr. Claims Analyst

3 weeks ago

Makati, Philippines Manulife Financial Full time

Overview

This Sr. Claims 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 and checking are being done in accordance with the policy details, laws, and regulations.
  • Assist the Claims Manager in resolving claims-related issues and/or concerns.
  • Discuss claim decisions with complaints team, distributors and/or customers whenever necessary.
  • Assist junior adjudicators with complex claims beyond their authorities.
  • Escalate possible fraudulent claims to the Team Lead and recommend appropriate action.
  • Maintain accurate records of claims, communications, and resolutions in the claims management system.
  • Actively participate in and contribute to projects and initiatives.
Required Qualifications
  • At least three (3) years’ experience in life claims processing, insurance, or a related field
  • Bachelor’s degree in healthcare administration, business, or a related field is preferred.
  • With industry certifications or exams passed (FLMI, etc.)
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.
關於宏利和恒康

宏利金融公司是一家業界領先的國際金融服務商，致力於幫助人們實現「輕鬆投資理財，樂享豐盛人生」。若要進一步了解我們，請瀏覽

宏利是平等機会僱主

在宏利／恒康，我們擁抱多元。我們致力於吸引、培養及挽留和所服務客戶同樣多元的員工，並從而營造包容的工作環境，接納文化和個體差異。我們矢志維持公平的招聘、挽留、晉升及薪酬制度，我們管理的所有實踐及項目不會因種族、血統、原籍地、膚色、族裔、國籍、宗教或宗教信仰、信仰、性別（包括懷孕及其相關情況）、性取向、遺傳特徵、退伍軍人身份、性別認同、性別表達、年齡、婚姻狀況、家庭狀況、殘疾或受適用法律保護的任何其他因素而區別對待。

我們的首要任務是消除障礙，為員工提供平等就業機會。人力資源部代表將盡力為應徵過程中提出要求的申請人提供合理協助。申請人要求提供協助所分享的信息將會按照適用法律及宏利／恒康政策儲存及使用。應徵過程中如需協助，請聯絡 。

Working Arrangement

混合式

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