Remote Cigna Claims Representative Jobs in Indiana

This is a remote role open to any location in continental US

Manulife is a leading international financial services provider, helping people make decisions easier and lives better. Help shape the future you want to see - and discover that better can take you anywhere you want to go.

The Senior Underwriting Consultant is responsible for evaluating applications of the highest financial impact and complexity. The incumbent will analyze decisions without compromising overall underwriting policies and should have the ability to work independently and guide more junior colleagues.

Position Responsibilities:

• In addition to those performed by Underwriter Consultants - identify and provide solutions to work related problems and issues (i.e. Work flow, systems).

• Negotiate and manage time and resources to meet deadlines and service times.

• Provide training and act as an information resource for more junior underwriters.

• May process all aspects of auditing, formal appeal reviews and contestable claim review.

• Audit applications underwritten to ensure underwriting decisions, correspondence and administrative processing have been followed in accordance with established guidelines and policies.

• Audit medical record summaries to ensure documentation is in accordance with our established guidelines.

• Assist management with various research projects pertaining to risk assessment.

• Process formal underwriting appeals and complaints.

• Review underwriting fraud referrals for appropriateness and assist management with book of business reviews.

• Review contestable claims for potential misrepresentation during underwriting.

• Maintain good relationships within a self-directed team environment.

• Project a professional image and serve as an example to junior staff.

• Manage all aspects of underwriting process for most complex cases.

• Serve as a subject matter expert for more junior colleagues and management.

• Process formal underwriting appeals and complaints.

• Manage underwriting fraud referrals for appropriateness and assist management with book of business reviews.

• Assist management with staff training and consults.

Required Qualifications:

• College graduate or business equivalent.

• Preferably 7 or more years of underwriting experience or exposure.

• Strong knowledge of underwriting function; Sound knowledge of John Hancock's various businesses.

• Strong knowledge of referral areas.

• Strong organizational, communication and interpersonal skills.

• Strong analytical skills; ability to define, research and resolve problems.

• Excellent ability to create and maintain customer relationships.

• Ability to prioritize and work effectively under deadlines balancing published service times with an appropriate customer focus.

• Strong ability to comprehend, retain and apply current technical information to daily work issues.

• Strong knowledge of company plans, riders, benefits and illustrations.

• Strong knowledge of medical science, technology and terminology and their impact on morbidity.

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.

#LI-JH

#LI-Remote

The role being advertised is an existing vacancy.

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 hr@manulife.com.

Referenced Salary Location

Salary range is expected to be between

Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. If you are applying for this role outside of the primary location, please contact hr@manulife.com for the salary range for your location.

Manulife/John Hancock offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans. We also offer eligible employees various retirement savings plans (including pension/401(k) savings plans and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in the U.S. includes up to 11 paid holidays, 3 personal days, 150 hours of vacation, and 40 hours of sick time (or more where required by law) each year, and we offer the full range of statutory leaves of absence.

We use data and analytics technologies, such as artificial intelligence (AI), and automated processing tools, to analyze and process the information you provide to us or third parties in the application process. For more information, please refer to our personal information collection statement.

Know Your Rights I Family & Medical Leave I Employee Polygraph Protection I Right to Work I E-Verify