Disability Case Specialist

2 days ago

Taguig, National Capital Region, Philippines Sun Life Global Solutions Full time $40,000 - $60,000 per year

Responsibilities

  • 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, Rehabilitation Consultant resources, and Consulting Mental Health Experts
  • 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.
  • 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.
  • Build strong relationships with our clients: employers and their employees.
  • Participate in face to face (virtual) client meetings.
  • Engage in continuous learning about disability practices and tools.

Qualifications

  • College Graduate.
  • At least 2 years related experience in disability case management (e.g. short term disability, worker's compensation, long term disability).
  • Strong BPO Healthcare experience.
  • Proficiency with computer and Windows PC applications, which includes 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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