Claims History Specialist

We are looking for a detail‑oriented and analytical Claims History Specialist to join our Claims team. In this role, you will ensure accurate and timely continuity of claims data—including drug history, DIN exceptions, and prior authorization statuses—to protect members from treatment interruptions and claim denials. You will play a direct role in improving the member experience and supporting Manulife’s mission of making decisions easier and lives better.

This opportunity offers the chance to build expertise in a specialized operational function while contributing to high‑impact client and member outcomes.

• Load, review, and validate claims history using mainframe systems and automation tools.

• Organize and scrub data files from multiple sources to ensure accuracy and system acceptance.

• Coordinate with Implementation Managers to meet claims history requirements for onboarding, spin‑offs, and restructures.

• Apply knowledge of health, dental, and drug claims programs to code DIN exceptions and manage continuity scenarios.

• Ensure timely, accurate, and high‑quality processing to meet internal SLAs and reduce client impact.

• Support proactive workflows that improve member outcomes and reduce rework.

• Experience in group benefits health and dental claims (typically 2–3+ years).

• Strong Excel proficiency with experience cleaning, organizing, and validating datasets.

• Demonstrated attention to detail and accuracy in data processing.

• Post‑secondary education in a related field or equivalent experience.

• Experience coding DIN exceptions, reviewing drug histories, or handling prior authorization statuses.

• Familiarity with mainframe systems used in claims processing.

• Knowledge of Manulife systems, internal migrations, or onboarding processes.

• Experience working with SOPs, QA frameworks, or SLAs.

• Ability to adapt to complex workflows and evolving business requirements.

• 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.

マニュライフ・ファイナンシャル・コーポレーションは、「あなたの未来に、わかりやすさを」を提供する、国際的な大手金融サービスプロバイダーです。当社について詳しくは、 をご覧ください。

マニュライフ/ジョン・ハンコックでは、多様性を受け入れます。私たちは、サービス提供先であるお客さまと同様に、多様な人材を引きつけ、育成し、定着させ、文化や個人の力を受け入れる包括的な職場環境を促進するよう努めています。当社は公正な採用、定着、昇進、報酬に努めています。当社のすべての慣行およびプログラムは、人種、祖先、出身地、肌の色、民族的出自、市民権、宗教または宗教的信念、信条、性別（妊娠および妊娠関連の状態を含む）、性的指向、遺伝的特徴、退役軍人としての地位、性自認、性に関する表明、年齢、婚姻状況、家族状況、障害、または適用法で保護されるその他の要因に対する一切の差別を行うことなく管理されます。

雇用への平等なアクセスを提供するために、障壁を取り除くことが当社の優先事項です。人事担当者は、応募者が応募プロセス中に合理的配慮を要求する場合に協力します。配慮要求のプロセス中に共有されるすべての情報は、適用される法律およびマニュライフ/ジョン・ハンコックのポリシーに準拠した方法で保存および使用されます。申請プロセスにおいて合理的配慮を要求するには、 recruitmentまでご連絡をお願いします。

Waterloo, Ontario

ハイブリッド勤務

$51,975.00 CAD - $86,625.00 CAD

If you are applying for this role outside of the primary location, please contact  for the salary range for your location. 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. Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance.

Manulife offers…