Claims Adjustment Specialist

**Adjustment Adjudicator** **Remote - Canada** **Salary Range: $38,175 - $63,625 CAD** The Adjustment Adjudicator plays a critical role in ensuring the timely and accurate processing of Health & Dental claim adjustments, while supporting complex escalations that directly impact customer outcomes. By resolving issues efficiently and improving the accuracy of claim decisions, this role actively supports Manulife's purpose to Make Decisions Easier and Lives Better. In this role, you will develop deep expertise in claims systems and adjudication practices, while collaborating closely with cross-functional partners across the Canadian Division and global operations. This opportunity offers meaningful exposure to complex claim scenarios, continuous learning, and the ability to make a tangible impact on the customer experience. **Position Responsibilities:** • Process Health & Dental adjustments, including stop payments, cheque reissues, system updates, exceptions, and retroactive claim reviews • Investigate claim issues from internal partners and resolve escalations with strong customer focus and urgency • Prepare clear, professional communications to plan members regarding claim outcomes or required information • Reconcile suspense account items and support SOX audit compliance • Complete manual history loads, out-of-country history processing, and unclaimed property investigations • Support process improvements, provide peer training, and collaborate across business units to meet service expectations **Required Qualifications:** • Minimum 3 years administrative or business operations experience • Strong working knowledge of Microsoft Office 365 • Superior understanding of claims payment systems and Health & Dental adjudication practices • Strong customer service focus with the ability to take initiative • Ability to work effectively both independently and within a team in a fast-paced environment • Strong interpersonal skills with the ability to collaborate at all levels across the Canadian Division and global teams **Preferred Qualifications:** • Excellent verbal and written communication skills (English and French) • Sound knowledge of medical and dental terminology, provincial legislation, and regulatory requirements • Experience working across multiple business units or functional areas • Demonstrated ability to manage multiple priorities while maintaining accuracy • Strong analytical, problem-solving, and decision-making skills • Highly organized, resilient, and adaptable in changing environments **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. **About Manulife** Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. We are committed to creating an inclusive workplace that embraces diversity and provides equal opportunities for all employees. **Benefits Package:** We offer eligible employees a comprehensive benefits package including health, dental, mental health, vision, disability coverage, life insurance, retirement savings plans, paid time off, and various wellness programs. Employees also have opportunities to participate in incentive programs tied to business and individual performance. **Equal Opportunity Employer** Manulife is committed to fair recruitment and employment practices. We provide reasonable accommodations during the application process and administer all practices without discrimination based on any ground protected by applicable law.