Benefit Specialist

John Hancock is a subsidiary of Manulife Financial, a leading Canadian-based financial services group serving millions of customers in 19 countries and territories worldwide. The Company offers clients a diverse range of financial protection products and wealth management services through its extensive network of employees, agents and distribution partners. John Hancock can be found on the internet at www.johnhancock.com Manulife Financial Corporation trades as 'MFC' on the TSX, NYSE and PSE, and under '0945' on the SEHKAccountable for reimbursement of Long Term Care Insurance benefits: Evaluate and determine if services are covered under the policy Interpret policy provisions by state and determine benefits payable Determine riders on policy, activate and reimburse Evaluate if services being reimbursed are consistent with the Plan of Care Apply and determine elimination period days appropriately Coordinate and apply Medicare and other governmental agency benefits Determine initiation of waiver of premium Closely monitor recoveries for potential Restoration of Benefits Appropriate application of compliance  and privacy regulations Respond to and resolve Policyholder inquiries and complaints Research and process claimants where no claim activity has occurred in 60 days College degree or equivalent work experience required Matriculation in  HIA, LTCP or ALHC designation program preferred 1 to 3 years experience in claims processing (preferably in the health care industry) Basic understanding of LTCI products, claim administration practices, medical terminology Knowledge of regs/compliance requirements related to claims Ability to work in a team; organized; excellent communication and customer service skills Knowledge of Medicare, LTC service delivery systems Knowledge of HIPAA/NAIC LTC Model/ADL's Superior computer skills  JOHN HANCOCK FINANCIAL IS AN EQUAL OPPORTUNITY EMPLOYER - AA/F/M/D/V JOB INFORMATION Company: Manulife Financial Location: Boston, MA 02108 Status: Full Time, Employee Job Category: Accounting/Finance/Insurance Learn more about the company Click here for video Length: 1:15 min Vibrant Culture     •     Wealth of Opportunity     •     Company with a Conscience