Disability Claims Specialist
3 days ago
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.
- 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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Disability Claims Specialist
3 days ago
Taguig, National Capital Region, Philippines RecruiterPH Full timeJob Title: Disability Case ManagerAt RecruiterPH, we are seeking a highly skilled and compassionate 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 support and benefits they need to navigate the disability claims process.Key Responsibilities:Adjudicate disability...
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Disability Claims Specialist
3 days ago
Taguig, National Capital Region, Philippines Recruiter PH Full timeJob SummaryWe are seeking a skilled Disability Case Manager to join our team at Recruiter PH. As a key member of our team, you will be responsible for adjudicating disability claims and providing exceptional support to our clients and their employees.Key ResponsibilitiesReview and analyze contractual, medical, functional, and occupational information to...
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Disability Claims Specialist
3 days 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...
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Disability Case Manager
3 days ago
Taguig, National Capital Region, Philippines RecruiterPH Full timeJob Title: Disability Case ManagerAt RecruiterPH, we are seeking a highly skilled and compassionate 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 support and resources they need to navigate the disability claims process.Key Responsibilities:Adjudicate disability...
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Disability Case Manager
3 days 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...
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Clinical Utilization Review Specialist
3 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Title: Clinical Utilization Review SpecialistGratitude Philippines is seeking a highly skilled Clinical Utilization Review Specialist to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our clients receive the most appropriate and cost-effective care.Key Responsibilities:Review treatment authorization...
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HR Support Specialist- Processor
3 days ago
Taguig, National Capital Region, Philippines J-K Network Services Full timeJob Title: HR Support Specialist- ProcessorAt J-K Network Services, we are seeking a highly skilled HR Support Specialist- Processor to join our team. As a key member of our HR department, you will be responsible for processing garnishments and support orders accurately and in a timely manner.Responsibilities:Process all garnishments and support orders...
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Medical Education Specialist Trainer
3 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Title: Trainer - Medical Education SpecialistGratitude Philippines is seeking a highly skilled Trainer - Medical Education Specialist to join our team. As a key member of our corporate development and training team, you will be responsible for designing, implementing, and evaluating comprehensive education programs to meet the ongoing competency needs...
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Clinical Appeals Specialist
3 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Title: Clinical Appeals SpecialistWe are seeking a highly skilled Clinical Appeals Specialist to join our team at Gratitude Philippines.Key Responsibilities:Review and analyze medical claims to ensure accurate processing and reimbursement.Communicate with healthcare providers and patients to resolve billing discrepancies.Develop and implement strategies...
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HR Support Specialist
3 days ago
Taguig, National Capital Region, Philippines J-K Network Services Full timeJob Title: HR Support Specialist- ProcessorAt J-K Network Services, we are seeking a highly skilled HR Support Specialist- Processor to join our team. As a key member of our HR department, you will be responsible for processing all garnishments and support orders accurately and in a timely manner.Key Responsibilities:Process all garnishments and support...
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HR Support Specialist
3 days ago
Taguig, National Capital Region, Philippines J-K Network Services Full timeJob Title: HR Support Specialist ProcessorAt J-K Network Services, we are seeking a highly skilled and detail-oriented HR Support Specialist Processor to join our team.Job Summary:We are looking for a professional with a strong background in human resources and experience in using HRIS systems. The successful candidate will be responsible for processing...
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Quality Assurance Specialist
3 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob SummaryGratitude Philippines is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a critical role in ensuring the quality of our healthcare services. Your primary responsibility will be to conduct quality assurance oversight activities, including regular and systematic reviews of...
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HR Support Specialist
3 days ago
Taguig, National Capital Region, Philippines J-K Network Services Full timeJob Title: HR Support Specialist- ProcessorJoin our team at J-K Network Services as an HR Support Specialist- Processor, where you will play a crucial role in ensuring the smooth operation of our human resources functions.About the Role:We are seeking a highly organized and detail-oriented individual to process all garnishments and support orders accurately...
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Clinical Utilization Review Specialist
3 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Title: Utilization ReviewerGratitude Philippines is seeking a skilled Utilization Reviewer to join our team. As a Utilization Reviewer, you will play a critical role in ensuring that patients receive appropriate and necessary medical care while minimizing costs.Key Responsibilities:Review treatment authorization requests based on state guidelines and...
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Quality Assurance Specialist
3 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Title: Quality Assurance SpecialistGratitude Philippines is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a critical role in ensuring the quality of our healthcare services.Key Responsibilities:Conduct regular reviews of managed care internal and external claim files to validate...
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Quality Assurance Specialist
3 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Title: Quality Assurance SpecialistGratitude Philippines is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a critical role in ensuring the quality of our healthcare services.Responsibilities:Conduct regular and systematic reviews of managed care internal and external claim files to...
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HR Support Specialist
3 days ago
Taguig, National Capital Region, Philippines J-K Network Services Full timeJob Title: HR Support Specialist ProcessorAt J-K Network Services, we are seeking a highly skilled HR Support Specialist Processor to join our team. As an HR Support Specialist Processor, you will play a critical role in ensuring the smooth operation of our HR functions.Job Summary:We are looking for a detail-oriented and organized individual to process all...
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Medical Education Specialist
3 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Title: Trainer - Medical Education SpecialistGratitude Philippines is seeking a highly skilled Trainer - Medical Education Specialist to join our team. As a key member of our organization, you will be responsible for developing and implementing comprehensive education programs to meet the needs of our medical professionals.Responsibilities:Design and...
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HR Support Specialist
3 days ago
Taguig, National Capital Region, Philippines J-K Network Services Full timeJob Title: HR Support Specialist ProcessorAt J-K Network Services, we are seeking a highly skilled and detail-oriented HR Support Specialist Processor to join our team.Job Summary:We are looking for a professional with a strong background in HRIS systems and a keen eye for detail to process all garnishments and support orders accurately and in a timely...
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Medical Education Specialist
3 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Title: Trainer - Medical Education SpecialistGratitude Philippines is seeking a highly skilled Trainer - Medical Education Specialist to join our team. As a key member of our organization, you will be responsible for developing and implementing comprehensive education programs to meet the needs of our medical professionals.Key Responsibilities:Design and...