Third Party Administration Consultant

Third Party Administrator (TPA) audits are conducted to identify business risks within Affinity and Group Benefits and to make appropriate recommendations related to efficiency, compliance and/or risk management. Reporting to the Director, Operations Affinity, the incumbent will contribute to the development of audit plans and execute regular operational audits including due diligence audits on the TPAs within Affinity and Group Benefits. This role requires strong relationship and communication skills when working with the various TPAs and other departments/teams within the organization. In Affinity, the TPAs provide services on behalf of our plan members and the TPAs are plan sponsors, professional, alumni and retiree associations, retailers, travel partners and other groups/organizations that have a strong affinity with their members or customers. In Group Benefits, the TPAs are selected by the plan sponsors and represent both Corporate and Trustee partnerships such as unionized trade workers and partnerships encompassing the small-mid market segment. Position Responsibilities: Accountable for planning and leading audits related to the Third Party Administrators (TPA) in both Affinity and Group Benefits that administer business on behalf of Manulife. Plan and perform regular audits of TPAs to ensure coverage is being administered in accordance with the terms of the contract or agreement. Develop audit scope, issue audit plans, confirmation letters, and perform audit fieldwork to meet the agreed upon deadline to issue the final audit report. This includes evaluating audit controls in place to mitigate the risks at the TPA through the review of the control objectives and completion of all assigned audit work (i.e. PCI Compliance, Agent Licensing Requirements, CASL, Provincial Unclaimed Property Reporting etc). Ensure compliance, data integrity and risk management controls exist. Provide constructive feedback and recommendations in a professional manner. Maintain and enhance audit protocols to ensure the current strategy is effective, efficient and adds value to all parties involved. Work with relationship managers and other departments. Write/issue TPA Agreements and any required amendments for TPAs to ensure the Agreement accurately reflects the services to be provided and is written in accordance with OSFI’s and Manulife’s outsourcing policies. Negotiate contract provisions in association with the respective Legal Department. Complete a weekly rotation of the shared inboxes and associated tasks which includes handling team correspondence related to TPA health and dental claim inquiries, requests from internal stakeholders, ad-hoc requests, etc. Responsible for the completion of the annual Bond Insurance application. Support risk management and compliance activities, contributing to other projects and tasks as assigned. Maintain positive successful relationships with key internal stakeholders and with key contacts within each Third Party organization. Weekly rotation includes handling of Memorandum of Understandings (MoUs) issued between a Plan Sponsor and their Third Party Administrator. Approve TPA funding initiated by the TPA Coordinator (wire transfer/direct deposit) as necessary. Handle responsibilities related to Unclaimed Property and associated reporting, including providing monthly reporting to the TPAs and internal reporting. Provide support and back up functions when the TPA Coordinator is unavailable, including learning all aspects of funding of TPAs. Required Qualifications: A minimum of 5 years in the Insurance industry with experience in operational functions. University Degree is required or equivalent work experience. Ability to represent Manulife in a professional and positive manner to external clients and stakeholders. Excellent interpersonal skills with the proven ability to influence and negotiate solutions to issues. Excellent oral and written communication skills. Excellent analytical and problem-solving skills. Ability to understand business processes and their risk implications, reach appropriate conclusions, and make value-added and practical recommendations. Leads by example, takes initiative, demonstrates results-oriented drive. Proven technical proficiency in Excel and Word. Excellent organization, time management and prioritization skills. Ability to develop and re-engineer processes with TPAs and business units within Affinity and Group Benefits. 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 here. 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 [email protected]. Primary Location: Waterloo, Ontario Working Arrangement: Hybrid Salary range is expected to be between: $67,275.00 CAD - $112,125.00 CAD If you are applying for this role outside of the primary location, please contact [email protected] 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 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 [email protected] for more information about U.S.-specific paid time off provisions. #J-18808-Ljbffr