Disability Claims Specialist

3 days ago


Taguig, National Capital Region, Philippines Recruiter PH Full time
Job Title: Disability Case Manager

We 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 Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions, and Consulting Mental Health Experts.
  • Work collaboratively with insured employees, clients, lawyers, healthcare 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 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.
Requirements:
  • Degree in Nursing or any allied medical courses.
  • At least 2 years of related experience in disability case management.
  • Strong BPO Healthcare experience.
  • Proficiency with computer and Windows PC applications, including 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.


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