Remote Disability Case Manager - Client-Focused Claims

Sunlife Solar; Taguig; On-site; PHP 350,000 - 550,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Life insurance

Paid vacation

Work from home

Job summary

Sun Life Financial in the Philippines is seeking a Disability Case Specialist to adjudicate disability eligibility for short- and long-term benefits. You will gather and review medical, contractual and occupational data, coordinate interventions, and work with employers, lawyers and health professionals to support employee recovery and return to work.

Role requires nursing or allied medical degree, 2+ years of disability case management and strong English communication.

Qualifications

• Degree in Nursing or allied medical courses.
• At least 2 years related experience in disability case management.
• Strong BPO Healthcare experience.
• Proficiency with computer and Windows PC applications.
• Ability to multi-task including handling multiple products and benefits.

Responsibilities

• Adjudicate disability for eligibility of short and long-term benefits by reviewing contractual, medical, functional, and occupational information.
• Coordinate interventions including IMEs, FCEs, ergonomic assessments and medical opinions.
• Collaborate with insured employees, clients, lawyers, healthcare practitioners and stakeholders to obtain information and communicate decisions.
• Conduct telephone interviews to develop and maintain case management plans for return to work.
• Assess medical and non-medical factors, functional capability, restrictions and limitations.
• Build relationships with clients and employees and participate in client meetings.

Skills

Disability case management

Customer service

Analytical thinking

Multitasking

Education

Nursing or allied medical degree

Tools

Windows PC applications

Job description

Sun Life Financial in the Philippines is seeking a Disability Case Specialist to adjudicate disability eligibility for short- and long-term benefits. You will gather and review medical, contractual and occupational data, coordinate interventions, and work with employers, lawyers and health professionals to support employee recovery and return to work.

Role requires nursing or allied medical degree, 2+ years of disability case management and strong English communication.