Disability Case Specialist - Night Shift (Pooling for February 2027 Class)

Sun Life Global Solutions – Philippines; Taguig; In loco; PHP 391.000 - 614.000; Tempo pieno

Descrizione del lavoro

Sun Life Global Solutions – Philippines is seeking a disability case manager to adjudicate eligibility for short and long-term benefits, reviewing medical and occupational data. The role coordinates interventions such as IMEs, FCEs, and ergonomic assessments while collaborating with employees, clients, lawyers, and health practitioners to deliver clear decisions.

You will conduct telephone interviews to shape outcome-focused plans for recovery and return to work, assess factors affecting

Competenze

• College graduate.
• At least 2 years related experience in disability case management (e.g. short term disability, worker's compensation).
• 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.

Mansioni

• Adjudicate disability for eligibility of short and long-term benefits, reviewing contractual, medical, functional and occupational information.
• Coordinate interventions including IMEs, FCEs, ergonomic assessments, medical consultant opinions and rehab resources.
• Collaborate with insured employees, clients, lawyers, health care practitioners and stakeholders to obtain information, provide claim status, create action plans and communicate decisions while maintaining privacy.
• Conduct telephone interviews to develop and maintain outcome-focused case management plans for recovery and return to work.
• Identify and assess medical and non-medical influencing factors, functional capability, restrictions and limitations.
• Build relationships with clients: employers and their employees.
• Participate in face-to-face (virtual) client meetings.
• Engage in continuous learning about disability practices and tools.

Conoscenze

BPO healthcare experience

Computer proficiency

Multitasking

Adaptability to multiple products

Formazione

College graduate

Descrizione del lavoro

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).

• 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.

At Sun Life, we're driven by our Purpose: helping our Clients achieve lifetime financial security and live healthier lives. Our values shape how we work: caring, authentic, bold, inspiring, and impactful.

When you join Sun Life, you'll work with passionate colleagues and empowering leaders who support your growth and celebrate your contributions, so you can make a meaningful difference in our Clients' lives.