Disability Case Manager
6 months ago
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 Consultant Opinions, Rehabilitation Consultant resources, and Consulting Mental Health Experts
o 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
o 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
o Identify and assess medical and non-medical influencing factors, functional capability, restrictions and limitations
o Build strong relationships with our clients: employers and their employees o Participate in face to face (virtual) client meetings
o Engage in continuous learning about disability practices and tools
Required Qualifications:
o Degree in Nursing or any allied medical courses
o At least 2 years related experience in disability case management
o Strong BPO Healthcare experience
o Proficiency with computer and Windows PC applications, which includes the ability to navigate and learn
new and complex computer system applications
o Ability to multi-task including the ability to understand multiple products and multiple levels of benefits within each product
Competencies:
o Critical thinking and analytical skills with a passion for solving challenging situations
o Customer service focus; demonstrating empathy, with outstanding communication and listening skills
o Ability to prioritize work items in order to meet client service standards and Sun Life best practice guidelines
o Thrives in a dynamic, fast paced environment while maintaining attention to detail with complex claims and contracts
o Adaptability, flexibility, and excellent organization skills
o Ability to make sound decisions, supported by strong rationale
o Resiliency and ability to manage challenging situations
o Identifying opportunities to improve processes
o Excellent written and verbal communication skills (English language)
o Collaborative Team Player who can effectively work independently and with others
-
Disability Case Manager
4 weeks ago
Taguig, National Capital Region, Philippines RecruiterPH Full timeJob Title: Disability Case ManagerAs a Disability Case Manager, you will play a critical role in ensuring that employees receive the support they need to return to work after a disability. Your primary responsibility will be to manage the disability claims process, from initial assessment to resolution.Key Responsibilities:Conduct thorough assessments of...
-
Disability Case Manager
6 months 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,...
-
Disability Case Manager
6 months 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,...
-
Disability Case Manager
6 months ago
Taguig, 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,...
-
Disability Case Manager
6 months ago
Taguig City, Philippines RecruiterPH Full timeWhat 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...
-
Disability Management Specialist
15 hours ago
Taguig, National Capital Region, Philippines RecruiterPH Full timeRole SummaryWe are seeking a skilled Disability Case Manager to join our team at RecruiterPH. In this role, you will be responsible for adjudicating disability claims and working closely with insured employees, clients, lawyers, and healthcare practitioners to provide timely and effective case management services.About the RoleThis is a challenging and...
-
Disability Claims Specialist
4 weeks ago
Taguig, National Capital Region, Philippines Recruiter PH Full timeJob Title: Disability Case ManagerAt Recruiter PH, we are seeking a highly skilled and experienced Disability Case Manager to join our team. As a Disability Case Manager, you will play a critical role in ensuring that our clients receive the benefits they deserve.Key Responsibilities:Adjudicate disability claims for eligibility of short and long-term...
-
Disability Benefits Specialist
2 weeks ago
Taguig, National Capital Region, Philippines RecruiterPH Full timeRole Overview: We are looking for a skilled Disability Case Manager to join our team at RecruiterPH. As a Disability Case Manager, you will be responsible for adjudicating disability claims for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional, and occupational information. Key...
-
Disability Claims Specialist
4 weeks ago
Taguig, National Capital Region, Philippines Recruiter PH Full timeJob Title: Disability Case ManagerWe are seeking a highly skilled and experienced Disability Case Manager to join our team at Recruiter PH.Key Responsibilities:Adjudicate disability claims for eligibility of short and long-term benefits, reviewing and analyzing contractual, medical, functional, and occupational information.Coordinate interventions, including...
-
Disability Claims Examiner
2 weeks ago
Taguig, National Capital Region, Philippines Recruiter PH Full timeJob Summary:As a Disability Case Manager at Recruiter PH, you will play a vital role in ensuring our clients receive the support they need to recover and return to work. Your primary responsibility will be to adjudicate disability claims for eligibility of short- and long-term benefits. This involves reviewing and analyzing contractual, medical, functional,...
-
Disability Benefits Coordinator
15 hours ago
Taguig, National Capital Region, Philippines Recruiter PH Full timeJob DescriptionWe are seeking a highly skilled Disability Benefits Coordinator to join our team at Recruiter PH.About the Role:To adjudicate disability for eligibility of short and long-term benefits by reviewing and analyzing contractual, medical, functional and occupational information.Coordinate appropriate interventions including Independent Medical...
-
Medical Case Manager
6 months ago
Taguig, Philippines Gratitude Philippines Full timeRoles 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
6 months ago
Taguig, Philippines Gratitude Philippines Full timeRoles 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...
-
Case Manager
4 weeks ago
Makati City, National Capital Region, Philippines BrightCare Assist Philippines Inc. Full timeJob Title: Case CoordinatorWe are seeking a highly skilled and detail-oriented Case Coordinator to join our team at BrightCare Assist Philippines, Inc.Key Responsibilities:Manage insurance eligibility and secure payment guarantees.Collaborate with healthcare providers on credit arrangements and fee negotiations.Conduct daily case reviews and audits for...
-
Medical Case Manager
16 hours ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Title: Medical Case ManagerLocation: PhilippinesEstimated Salary: 450,000 - 550,000 PHP per annumAbout the RoleWe are seeking a highly skilled and motivated Medical Case Manager to join our team at Gratitude Philippines. As a Medical Case Manager, you will be responsible for reviewing treatment authorization requests, conducting clinical assessments, and...
-
Clinical Case Manager
2 weeks ago
Makati City, National Capital Region, Philippines BrightCare Assist Philippines Inc. Full timeJob Title: Clinical Case ManagerBrightCare Assist Philippines, Inc. is seeking a skilled Clinical Case Manager to ensure seamless billing processes and deliver exceptional patient support.Key Responsibilities:Manage insurance eligibility and secure payment guarantees.Collaborate with healthcare providers on credit arrangements and fee negotiations.Conduct...
-
Medical Case Manager
4 weeks ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Title: Medical Case ManagerGratitude Philippines is seeking a highly skilled Medical Case Manager to join our team. As a Medical Case Manager, you will play a critical role in ensuring that injured employees receive the appropriate level and intensity of care.Key Responsibilities:Review workers compensation claims with serious injury and create a...
-
Digital Fraud Case Manager
3 weeks ago
Makati City, National Capital Region, Philippines EastWest Bank Full timeEWB Case Manager Job DescriptionRole Summary:A highly skilled EWB Case Manager is required to play a pivotal role in ensuring confidence in EastWest Bank (EWB) and KOMO digital services by effectively handling reported fraud and unauthorized transaction complaints against EWB and EWRB accounts to EWB Enterprise Fraud.Key Responsibilities:Fraud Alerts Case...
-
Japanese ITIL Case Manager
4 weeks ago
Taguig, National Capital Region, Philippines RCX Philippines Full timeJob Title: Japanese ITIL Case ManagerSalary: 80,000 - 120,000HYBRID: 4 days Work from Home, 1 day Onsite per weekJob Summary:The Japanese ITIL Case Manager is responsible for resolving technical and non-technical issues related to services, through liaison with customers and local providers. The ideal candidate will identify and establish new processes, and...
-
Medical Case Manager
16 hours ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob DescriptionWe are seeking a skilled Medical Case Manager to join our team at Gratitude Philippines. In this role, you will play a critical part in helping injured workers return to work by providing expert clinical guidance and support.