Analyst - Fraud, Waste & Abuse

Long-Term Care (LTC) Insurance is a legacy John Hancock product that was sold from 1987 through 2016. Currently, there are approximately 800,000 policies in-force and just under 40,000 active claims. Claim growth is expected to continue for many years to come.

The LTC Fraud Waste and Abuse Team is responsible for preventing, detecting, evaluating, investigating, and remediating cases of fraud against these policies. We are seeking an experiencedAnalystto help define and identify currently undiscovered opportunities for improved prevention, detection and remediation of this fraud.

*This is a Remote role open to candidates in any US state or Canadian province.

Position Responsibilities:

• Perform deep-dive evaluations of at-risk cases, queries and concepts.
• Manage initial customer communications as part of case evaluation.
• Work to identify and prioritize opportunities for pilot programs aimed at improving savings results; support case triage and review.
• Investigate, support and participate in the development of efficiency opportunities and risk reduction processes and policies.
• Continuously monitor and identify investigative trends through LEAF, Archer and Advanced Analytics; assess fraud prevention criteria semi-annually and make recommendations to improve results.
• Maintain close collaboration with Inforce Management, LTC Operations and the extended Fraud team for shared goals and outcomes.
• Effectively manage competing priorities and high‑risk work in a fast‑paced environment.
• Track and report success measures and key results.

Required Qualifications:

• 3+ years progressive business analysis and/or project management experience supporting significant business initiatives.
• Strong facilitation skills and ability to build team consensus by utilizing strong conflict management skills.
• Able to translate issues and problems into effective business solutions.
• Ability to effectively apply project management and business cases methodologies and ensure the necessary technical skills are included with the project team and utilized appropriately.
• Advanced written and verbal communication skills, with the ability to craft and articulate clear, compelling business cases when presenting information.
• Ability to build effective business relationships with key stakeholders and business management.

Preferred Qualifications:

• Bachelor’s degree preferred.
• Familiarity in LTC Insurance and / or insurance fraud preferred.

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

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