Senior Analyst, MR Claim & Reporting

Summary:

This role combines core healthcare reimbursement claims assessment responsibilities with ownership of claims reporting and data analysis. The position ensures accurate and compliant claims processing while delivering timely and reliable reports to s upport operational monitoring, performance management, and decision-making.

Key Responsibilities

Claims Assessment & Case Handling

• Review and assess healthcare reimbursement (MR) claims daily in accordance with policy terms and internal guidelines.

• Validate claim documents including invoices, medical records, prescriptions, and supporting documents.

• Calculate eligible reimbursement amounts and correctly apply limits, exclusions, and conditions.

• Identify and escalate suspicious, complex, or high-risk cases according to fraud and compliance procedures.

• Update claims systems accurately and ensure SLA and TAT compliance.

• Respond to claim-related inquiries from customers, Call Center, Sales, and internal stakeholders.

Reporting & Data Management

• Prepare and maintain daily, weekly, and monthly claims reports (volume, productivity, TAT, quality, backlog).

• Ensure accuracy, consistency, and timeliness of claims data and reporting outputs.

• Analyze claims data to identify trends, root causes, and improvement opportunities.

• Support management reporting, audits, and operational reviews.

• Collaborate with IT and project teams on UAT, system enhancements, and data validation activities.

• Maintain reporting templates, definitions, and documentation.

Required Qualifications

• 2-3 years of hands‑on experience in healthcare claims assessment, reimbursement processing, or insurance operations, with solid understanding of end‑to‑end claims workflows.

• Proven experience in daily claims handling, including document verification, benefit application, reimbursement calculation, and case closure.

• Strong proficiency in MS Excel and MS Office, including data entry, data validation, basic analysis, and report preparation.

• Practical experience using claims processing systems, with the ability to navigate, update, and maintain accurate claim records.

• Ability to manage claim volumes while consistently meeting SLA and TAT requirements

Preferred Qualifications

• Experience in claims reporting, MIS, or claims performance analysis.

• Strong analytical skills and attention to detail.

• Familiarity with compliance, audit, and fraud-related processes.

• Ability to manage multiple priorities and work under pressure.

• English reading proficiency for medical and system documents

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 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 .

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 .