Specialist, Assessment Claims

Manulife Financial Inc

Dist.7
Hybrid
Review and assess claim submissions
Validate supporting documents
Handle direct billing requests
Manulife Financial Inc. is seeking a Specialist in Assessment Claims to handle reimbursement and direct billing responsibilities, ensuring compliance with policy guidelines and managing medical expenses. The ideal candidate should have 2-3 years of relevant experience, a background in healthcare or insurance, and strong analytical skills

Job Summary

  • Review and assess reimbursement claim submissions to ensure accuracy and compliance with policy guidelines.
  • Handle direct billing requests from hospitals and clinics, verifying eligibility and benefit coverage.
  • You will be empowered to learn, grow, and build the career you aspire to.

Matching Summary

Match Score: 85

Manulife Financial Inc. is seeking a Specialist in Assessment Claims to handle reimbursement and direct billing responsibilities, ensuring compliance with policy guidelines and managing medical expenses. The ideal candidate should have 2-3 years of relevant experience, a background in healthcare or insurance, and strong analytical skills.

Skills & Requirements

Must-have

  • review and assess claim submissions
  • validate supporting documents
  • handle direct billing requests
  • communicate with providers
  • adherence to SLA/TAT requirements

Nice-to-have

  • cost containment strategies
  • fraud detection protocols
  • decision making under pressure

Key Requirements

  • 2-3 years of experience
  • Basic knowledge of medical services
  • College or university degree
  • Proficiency in MS Office and claims systems

Work Rights

Not specified

Tailored Resume

Cover Letter