Clinical Disability Claims Specialist (PHRN/USRN) | Permanent WFH | Nationwide
939 Views
2 weeks ago
Experience
2–10 Year(s)
₱
Salary
₱ 62 – 85K
p.m
Location
Manila
(Base Location for WFH)
10 candidate(s) already applied
Job Description
Work Setup: Permanent Work From Home
Schedule: Shifting Schedule
Location: Nationwide (Philippines)
Salary
A2 Level
- Basic Salary: PHP 60,700–66,800
- Complexity Allowance: PHP 3,000
- Standard Allowance: PHP 2,675
B1 Level
- Basic Salary: PHP 73,200–85,700
- Complexity Allowance: PHP 3,000
- Standard Allowance: PHP 2,675
We are looking for experienced PHRN or USRN Clinical Disability Claims Specialists with strong clinical assessment experience and a background in commercial or private insurance.
Key Responsibilities
- Conduct comprehensive clinical case reviews for disability claims.
- Evaluate medical documentation and determine eligibility for Short-Term and Long-Term Disability claims.
- Apply clinical judgment while adhering to company policies and regulatory guidelines.
- Collaborate with internal teams to ensure timely and accurate claim decisions.
- Maintain detailed and accurate case documentation.
Qualifications
- Active PHRN or USRN license (required).
- Minimum of 3 years of hospital bedside experience, preferably in intensive care or critical care settings.
- At least 2 years of Clinical Disability Claims experience.
- Experience handling Short-Term Disability (STD) and/or Long-Term Disability (LTD) claims.
- Experience in private or commercial insurance is required.
- Must have hands-on experience performing clinical case reviews.
- Willing to work on a shifting schedule.
- Amenable to a permanent work-from-home setup.
You are encouraged to APPLY!
WE ARE HIRING.
Key Skills
25 Skills
Documentation
Medical Assistance
Nursing
case handling
PHRN
Healthcare Insurance
Patient Centric Mindset
Disability
claims
Medical Claims processing
BS Nursing
Health Insurance Claims Processor
Bachelors in Nursing
USRN & PHRN
PHRN or USRN
Claims & Billing
ICU/CCU nursing experience
bedside nursing experience
Experience in healthcare specifically in Disability Claims
reviewing medical data or documentation
Bachelor's Degree in Nursing
active PHRN License
Excellent clinical interpretation skills based on limited information provided along with a comprehensive understanding of medical terminology
Clinical disability claims
PHRN/ USRN Active license
Role Specifications
Role
Admin Services/Medical Facilities
Timings
Rotational Shifts (Permanent)
Industry
BPO
Work Mode
Work from Home
Process
Voice
Functional Area
Medical Professional / Healthcare Practitioner / Technician
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About Company
Gratitude Inc is a global company with presence across APAC, Africa, and USA. We are known for our people, innovation and customer focused approach.
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