Disability Benefits Specialist

7 days ago


Taguig, National Capital Region, Philippines RecruiterPH Full time
Role 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 Responsibilities:
  • Adjudicate disability claims for eligibility of short and long-term benefits.
  • Coordinate appropriate interventions, including 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, 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 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.

Requirements: To be successful in this role, you will need a degree in Nursing or any allied medical courses, at least 2 years of related experience in disability case management, strong BPO Healthcare experience, and proficiency with computer and Windows PC applications. Additionally, you should possess critical thinking and analytical skills with a passion for solving challenging situations, customer service focus, ability to prioritize work items, and excellent written and verbal communication skills.

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