Disability Case Manager

2 weeks ago


Taguig City, Philippines Recruiter PH Full time

- Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information
- Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions, Rehabilitation Consultant resources, and Consulting Mental Health Experts
- Work collaboratively with insured employees, clients, lawyers, health care practitioners and other stakeholders to obtain information, provide claim status, create action plans and communicate verbal and written decisions while maintaining confidentiality and privacy
- Conduct telephone interviews to obtain information to develop and maintain outcome-focused case management plans to support employees in their recovery and return to work
- Identify and assess medical and non-medical influencing factors, functional capability, restrictions and limitations
- Build strong relationships with our clients: employers and their employees o Participate in face to face (virtual) client meetings
- Engage in continuous learning about disability practices and tools

Required Qualifications:
- Degree in Nursing or any allied medical courses
- At least 2 years related experience in disability case management
- Strong BPO Healthcare experience
- Proficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
- Ability to multi-task including the ability to understand multiple products and multiple levels of benefits within each product



  • Taguig City, Philippines Recruiter PH Full time

    - Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information - Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions,...


  • Taguig, National Capital Region, Philippines Recruiter PH Full time

    - Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information- Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions,...


  • Taguig City, Philippines RecruiterPH Full time

    What will you do? o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information o Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...


  • Taguig City, Philippines RecruiterPH Full time

    What will you do? o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information o Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...


  • Taguig, National Capital Region, Philippines RecruiterPH Full time

    What will you do?o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational informationo Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...


  • Taguig, National Capital Region, Philippines Optum Full time

    Key ResponsibilitiesDevelop and implement defensible case recommendations for concurrent admission, continued stay, and concurrent denial casesCollaborate with Physician Advisors to ensure accuracy and consistency in case recommendationsStay up-to-date on relevant medical guidelines and best practices to inform clinical decisionsCommunicate effectively with...

  • Medical Case Manager

    2 weeks ago


    Taguig, Philippines Gratitude Philippines Full time

    Roles and Responsibilities: • PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work. • Nurses...

  • Medical Case Manager

    2 weeks ago


    Taguig, Philippines Gratitude Philippines Full time

    Roles and Responsibilities: • PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work. • Nurses...


  • Taguig, National Capital Region, Philippines Gratitude Philippines Full time

    Roles and Responsibilities:• PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work.• Nurses have...

  • Nurse Case Manager

    6 days ago


    Taguig, National Capital Region, Philippines ManpowerGroup Full time

    Nurse Case Manager Job OverviewThis Nurse Case Manager position requires a strong background in clinical review and case management. The ideal candidate will have experience working with workers' compensation laws and regulations.Responsibilities:Partner with adjuster to develop medical resolution strategies to achieve maximal medical improvement or the...


  • Taguig, National Capital Region, Philippines Goodyear Dunlop Tires Germany GmbH Full time

    We are seeking a highly skilled Complex HR Case Manager to join our team at Goodyear Dunlop Tires Germany GmbH. The successful candidate will have a strong background in HR operations, employee relations, and HR systems.The Complex HR Case Manager will be responsible for:Managing and resolving complex HR cases, including employee relations, compensation, and...


  • Davao City, Davao, Philippines iDreamAmerica Davao-OPC Full time

    About UsiDreamAmerica Davao-OPC supports immigration law services provided by the Law Offices of Nicolas Caraquel, PLLC. Our firm collaborates closely with iDreamAmerica Staffing Services LLC to offer accessible and top-notch legal services aimed at helping individuals achieve their goals of traveling to, working in, or living in the United States of...

  • Case Manager

    3 days ago


    Quezon City, National Capital Region, Philippines Intelassist Full time

    About the JobWe are seeking a detail-oriented and analytical individual to join our team as a Case Manager - Eviction Services. The successful candidate will be responsible for managing legal cases, conducting research, and preparing documents for court filings.The ideal candidate will possess strong problem-solving skills, a deep understanding of Texas...

  • EWB Case Manager

    2 weeks ago


    Makati City, National Capital Region, Philippines East West Banking Corporation Full time

    Makati, Metro Manila, Philippines Digital Products and ChannelsPlay a crucial role in ensuring confidence in EWB and KOMO digital services by handling reported fraud and unauthorized transaction complaints against EWB and EWRB accounts to EWB Enterprise Fraud within defined SLA.Conduct surveillance monitoring on social media and other online channels for...


  • Davao City, Davao, Philippines Sutherland Full time

    About This Role:We are seeking a highly skilled Short-Term and Long-Term Disability Claims Manager to join our team. In this role, you will be responsible for overseeing the processing of short-term and long-term disability claims, ensuring accuracy, compliance, and timely resolution.Key Responsibilities:Claims Operations Oversight: Supervise the processing...


  • Makati City, National Capital Region, Philippines Genfinity Full time

    **Job Description**We are seeking a highly skilled Medical Case Coordinator to join our team. As a Medical Case Coordinator, you will be responsible for coordinating the delivery of medical services to patients. You will work closely with healthcare providers, insurance companies, and other stakeholders to ensure that patients receive the best possible...


  • Cebu City, Central Visayas, Philippines Staff4Me Full time

    Candidates interested in the field of crime and justice should consider applying for our Case File Specialist position at Staff4Me. In this role, you will be responsible for managing and reviewing case files, ensuring accuracy and reliability of the information.Main Responsibilities:Work from a workstation, performing administrative tasks and data...


  • Taguig, National Capital Region, Philippines Gratitude Philippines Full time

    Role DescriptionThe Nurse Case Manager will work closely with our claims team and healthcare providers to coordinate medical care and rehabilitation services for individuals with work-related injuries. Key responsibilities include:• Developing and implementing individualized return-to-work plans in collaboration with healthcare providers and employers•...

  • Test Case Developer

    6 days ago


    Quezon City, National Capital Region, Philippines UnitedHealth Group Full time

    Main ResponsibilitiesDevelop and manage test cases and test suites to be included in automationTranslate complex requirements into clear and concise testing scenariosParticipate in Scrum Agile ceremonies and daily stand-up meetings


  • Makati City, National Capital Region, Philippines Hunter's Hub Inc. Full time

    Job OverviewWe are looking for a skilled Health Claims Officer to join our team at Hunter's Hub Inc.Main Responsibilities:Claims Evaluation: Evaluate hospitalization claims to determine their validity.Document Analysis: Analyze medical documents related to hospitalized clients.Claim Amount Approval: Approve claim amounts up to P500K and ensure proper...