Quality Assurance Senior Analyst
John Hancock Manulife
Are you looking for a supportive and collaborative workplace with great benefits and clear career development? You’ve come to the right place.
Why choose Manulife?
- Competitive Salary packages and performance bonuses
- Day 1 HMO + FREE coverage for your dependents (inclusive of same-sex partners)
- Retirement savings benefit
- Rewarding culture that values wellness and well-being
- Performance Bonus
- Global network of industry experts
- Extensive training resources
Minimum Skills Required to Hire:
The candidate:
- Must have at least 1 year tenure in current position
- Must be meeting or exceeding performance metrics in the current position
- Must not have any attendance issues and have not received any disciplinary action
Education:
- College/University graduate preferably with previous related work experience in the financial services
Technical Skills:
- Excellent LTC contract portfolio interpretation, including interpretation of state and federal regulations;
- Superior knowledge of LTC claims payment and provider eligibility adjudication processes and procedures.
- Knowledge of inter and intra departmental work flows and procedures;
- Excellent typing skills
- Experienced in Excel, Access and access related report generation
- Proficiency in all of the following systems: Promise, LifePRO, GLTC, CARE and Group GLTC
- Knowledgeable in managing Promise and Beacon Action Box
- Medical terminology, coding and provider billing practices required
Soft Skills:
- Superior communication skills, both written and oral.
- Strong analytical and problem solving skills
- Excellent decision making skills
- Strong analytical skills including ability to draw conclusions from statistical data and recognize cause and affect relationships in processes and work flows.
- Ability to facilitate feedback of audit results in a detailed, educational, and professional manner.
- Strict attention to detail
- Excellent coaching skills
Minimum Skills Requirements to Go-live:
Product Specific Knowledge
- Knowledge of company plans/line of business
Process Specific Knowledge
- Able to identify the complex and non-complex transaction
- Report generation
- QA process/Audit Process
Tools Specific Knowledge
- LifePro
- GLTC
- CARE
- Pega System Beacon
- Pega System Promise
- Pega System CSC
- Sharepoint
- Workday
Let's make every day better together. Learn about our opportunities at JOBS.MANULIFE.COM
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 recruitment@manulife.com.
Working Arrangement