• Design, implement, and maintain data quality rules, checks, and controls across enterprise data assets • Perform data profiling, root cause analysis, and anomaly detection across SAP and non-SAP data sources • Partner with business stakeholders to understand data quality issues, business impacts, and remediation priorities • Translate business requirements into measurable data quality rules and thresholds • Support ongoing data quality monitoring, scorecards, and reporting for key data domains • Collaborate with data engineers to embed data quality controls into ETL and data pipelines • Analyze data discrepancies and ensure reconciliation back to systems of record • Support issue management workflows, including defect tracking, prioritization, and resolution validation • Contribute to documentation of data quality standards, rules, and operational procedures • Assist in user acceptance testing and quality assurance for new or enhanced data assets • Provide input and feedback to improve enterprise data quality processes and tooling

Are you looking for unlimited opportunities to develop and succeed? With work that challenges and makes a difference and a flexible and supportive environment, we can help our customers achieve their dreams and aspirations. To be successful in our claims department you must have a passion for making a difference in our customers lives! You will be a dynamic, positive, customer service focused and creative individual in your work. You will also need to have an aptitude and demonstrated ability to think outside of the box to provide solutions and identify opportunities to improve our processes and customer experience. You are a change-maker, innovative, resourceful and thrive on pushing our company forward with fresh ideas. You are hungry for success and we foster a working environment where you can grow your skills and achieve your goals. Position Responsibilities: - Establish and maintain superior customer service to policyholders, agents, marketing centers - Complete detailed initial telephone interviews with our Claimants - Create a white glove customer experience for our Claimants - Manage ongoing claims by requesting further medical, financial documentation or investigations as required and consult with specialists in all areas. - Review claims and underwriting files for proper disclosure of past medical history, exclusions, riders, endorsements; administer policy enhancements, premium waiver and other policy benefits - Make decisions on claim benefit eligibility determination and communication decisions to stakeholders - Document the claim file to ensure an accurate record of events that transpire in the claim handling - Obtain proper file information and review with policy provisions to verify eligibility - Accurately maintain claim records on system to ensure accuracy of reserve calculations - Complete benefit payments and tax payments accurately and in a timely manner. Required Qualifications: - University degree in any discipline or equivalent work experience. - Fully bilingual (French/English): The successful candidate will be required to communicate in English and French in order to support clients from various jurisdictions outside of Quebec. - Adjudication knowledge and experience - Customer service oriented individual with negotiating skills is essential. - Excellent interpersonal skills with good oral and written communication skills in English and French for use in dealing with internal and external customers, claimants, brokers, physicians, employees, hospitals, investigators and lawyers. - Ability to respond constructively and decisively in high pressure or emotional situations and to respond positively to change. - Good working knowledge of the underwriting process. - Good analytical skills to evaluate conflicting information from various key sources in order to assess risk in making timely and effective decisions with appropriate. Preferred Qualifications: - Continuous improvement mindset. - Proven ability to make decisions and handle pressure. - Ability to thrive in a high energy culture. - Working knowledge of government legislation and legal precedents, the Insurance Act and/or Quebec Civil Code is an asset. 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. 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 CAN, Ontario - Full Time Remote Working Arrangement Remote Salary range is expected to be between $43,875.00 CAD - $73,125.00 CAD 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 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 and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in Canada includes holidays, vacation, personal, and sick days, and we offer the full range of statutory leaves of absence. If you are applying for this role in the U.S., please contact hr@manulife.com for more information about U.S.-specific paid time off provisions. 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.

• Handling all Utilization Management medical appeal cases • Ensuring that timeliness guidelines are met and appeal handled in compliance with regulatory requirements • Providing mentoring and clinical liaison support to appeals staff • Assessing patient's clinical need against established guidelines and standards • Evaluating the necessity, appropriateness and efficiency of medical services and procedures • Performing review of medical records and preparing for review by Medical Director • Investigating and resolving complicated appeals • Coordinating with legal department as necessary • Preparing and presenting appeals to Appeals Committee • Conducting presentations of appeals process to internal customers • Plans appropriate allocation of resources to provide quality patient care • Documenting accurately and comprehensively • Interacting and communicating with facilities, physicians and members/families • Evaluating care by problem solving and analyzing variances • Facilitating the external review process with the IURO and IRO • Providing 24/7 on call appeal support as scheduled • Actively participating in enterprise meetings as management's proxy

Job Description Summary The Application Analyst III, Clinical Applications, reports to the leader of the clinical applications team in support of MUSC’s academic, research and healthcare missions. Under general supervision, the Application Analyst III, Clinical, provides expertise in evaluating and resolving complex technical issues, demonstrates strong analytical and communication skills to maximize the benefit of Information Solutions services. Generates appropriate communication, process and educational plans to identify and remove obstacles to change and mitigating the disruption of change. Serves as the subject matter expert in all areas of application clinical program supporting applications, maintaining system updates, supporting operational end users, etc. Takes a lead role in projects; participates in team and project meetings and provides input on intelligent solutions to improve efficiency. Coaches and transfers knowledge to peers and staff, maintains high professional standards, and exhibits excellent customer service skills while performing assigned tasks. Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC005671 SYS - IS Procedural Applications Pay Rate Type Salary Pay Grade Health-30 Scheduled Weekly Hours 40 Work Shift Job Description The Application Analyst III, Clinical Applications, reports to the leader of the clinical applications team in support of MUSC’s academic, research and healthcare missions. Under general supervision, the Application Analyst III, Clinical, provides expertise in evaluating and resolving complex technical issues, demonstrates strong analytical and communication skills to maximize the benefit of Information Solutions services. Generates appropriate communication, process and educational plans to identify and remove obstacles to change and mitigating the disruption of change. Serves as the subject matter expert in all areas of application clinical program supporting applications, maintaining system updates, supporting operational end users, etc. Takes a lead role in projects; participates in team and project meetings and provides input on intelligent solutions to improve efficiency. Coaches and transfers knowledge to peers and staff, maintains high professional standards, and exhibits excellent customer service skills while performing assigned tasks. Additional Job Description Required Education/Skills/Work Experience: A bachelor’s degree and five years directly related experience (IS or clinical); or a high school diploma and nine years directly related experience or a Masters’ degree and 3 years directly related experience required (IS or clinical). Must possess strong interpersonal, project management, analytical and communication skills. Application-specific certification(s) preferred. *Previous experience in Radiology and Cardiology applications is strongly preferred. If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees