Claims Adjudicator and Rehabilitation Coordinator

- 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,...

FWD Group Management Holdings Limited is committed to changing the way people feel about insurance. We aim to deliver innovative solutions that make a meaningful difference in people's lives.Key Responsibilities:Service Delivery:Ensure seamless delivery of Customer Connect Services including claims connect email, SMS, and mobile access.Facilitate effective...

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...

Job Title: Disability Case ManagerCompany OverviewAt Recruiter PH, we strive to provide exceptional services to our clients, and we are seeking a skilled Disability Case Manager to join our team.Job DescriptionThe primary responsibility of this role is to adjudicate disability for eligibility of short and long-term benefits. This involves reviewing and...

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...

FWD Group is a pan-Asian life and health insurance business with more than 12 million customers across 10 markets, including some of the fastest-growing insurance markets in the world. The company was established in 2013 and is focused on changing the way people feel about insurance. FWD's customer-led and digitally enabled approach aims to deliver...

FWD Group Management Holdings Limited is a leading pan-Asian life and health insurance business. As a customer-centric organization, we aim to deliver innovative solutions that make a meaningful difference in people's lives.Key ResponsibilitiesService Functions:Manage claims-related functions, ensuring seamless delivery of Customer Connect Services including...

Summary:The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client's mission, vision, and values. Upholds the standards of the...

Roles and Responsibilities:• PH Nurses to review treatment authorization request based on state guidelines and medical necessity and take decision to approve/deny. In case of denial send this to independent panel review to support the decision. Nurses will work with Claims adjuster on denial decision based on risk tolerance to ensure the denial doesn't...

Roles and Responsibilities:• PH Nurses to review treatment authorization request based on state guidelines and medical necessity and take decision to approve/deny. In case of denial send this to independent panel review to support the decision. Nurses will work with Claims adjuster on denial decision based on risk tolerance to ensure the denial doesn't...

Responsibilities:Research, plan, develop, implement and evaluate training strategies, initiatives, and materials including comprehensive education programs to meet orientation and ongoing competency needs and professional development needsAssess data and information related to claim medical outcome and other pertinent situations including identification of...

Summary:The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client's mission, vision, and values. Upholds the standards of the...

We are seeking a highly skilled Disability Case Manager to join our team at Recruiter PH. As a key member of our organization, you will play a critical role in ensuring that individuals with disabilities receive the support they need to achieve their goals.About the RoleThis position involves adjudicating disability claims, coordinating interventions, and...

Responsibilities:Research, plan, develop, implement and evaluate training strategies, initiatives, and materials including comprehensive education programs to meet orientation and ongoing competency needs and professional development needsAssess data and information related to claim medical outcome and other pertinent situations including identification of...

Works closely with the BP Service Consultant in dealing with all the required documents pertaining to BP accident repairs under insurance claim.Coordinates with the insurance company to ensure all requirements concerning BP insurance claims are submitted completely and in order to guarantee immediate release of LOA.Monitors BP repair status and progress to...

Responsibilities:Carry out quality assurance oversight activities defined in the Client Managed Care National Best Practices and Quality Assurance StandardsConduct regular and systematic review of Managed Care internal and external claim files with focus towards validation of consistent evaluation of evidence-based medicine, comprehensive assessments,...

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...

About the PositionThe Life Insurance Benefits Coordinator plays a critical role in ensuring the smooth operation of policy benefits for AIA Hong Kong and Macau. This position requires strong analytical skills and attention to detail to ensure compliance with company policies and regulatory requirements.Main Responsibilities:Coordinate the processing of...

Responsibilities:Carry out quality assurance oversight activities defined in the Client Managed Care National Best Practices and Quality Assurance StandardsConduct regular and systematic review of Managed Care internal and external claim files with focus towards validation of consistent evaluation of evidence-based medicine, comprehensive assessments,...

FWD Group is revolutionizing the insurance industry with its customer-led and digitally enabled approach. Our mission is to deliver innovative propositions, easy-to-understand products, and a simpler insurance experience.Role OverviewClaims Handling:Manage claims processes, ensuring timely and efficient resolution of claims-related functions.Represent the...