PHRN/ USRN Healthcare Clinical Disability Claims

Gratitude Inc

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4 weeks ago

PHRN/ USRN Healthcare Clinical Disability Claims

2-5 Year(s)

₱ 60 - ₱ 85K p.m

Manila
(Base Location for WFH)

Job Description

Key Skills

Clinical disability claims PHRN/ USRN Active license

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PHRN / USRN – Clinical Disability Claims Specialist (Work From Home)

Job Overview

We are looking for licensed PHRNs or USRNs with extensive clinical background and expertise in Clinical Disability Claims to join project AMERON. In this role, you will perform Clinical Case Reviews for private or commercial insurance accounts in a full remote setup nationwide.

Key Details

Project Name: AMERON
Work Setup: 100% Work From Home (Nationwide)
Work Schedule: Shifting
Headcount Available: 3 Openings
Target Start Date: To Be Determined (TBD)

Compensation Package

A2 Level:
- Basic Pay: ₱60,700 – ₱66,800 / month
- Complexity Allowance: ₱3,000 / month
- Standard Allowance: ₱2,675 / month
B1 Level:
- Basic Pay: ₱73,200 – ₱85,700 / month
- Complexity Allowance: ₱3,000 / month
- Standard Allowance: ₱2,675 / month

Qualifications

License: Active Philippine Registered Nurse (PHRN) or US Registered Nurse (USRN) license.
Bedside Experience: Minimum 3 years of hospital bedside experience (specifically handling Intensive Care / ICU).
Claims Experience: At least 2 years of experience in Clinical Disability Claims, with a focus on Short-Term Disability (STD) or Long-Term Disability (LTD).
Account Background: Hands-on experience in private or commercial insurance (Clinical Case Review).
- Note: Candidates with government insurance experience only (e.g., VA / Veterans accounts) are not eligible.
Client Eligibility: Must not be a former or current employee of the client company.

Target Source Companies: Candidates with background from Genpact, Optum, VXI, Accenture, or similar healthcare/BPO organizations are highly encouraged to apply.

Recruiter Screening Form

Applicant Name:
Active License: [ ] PHRN [ ] USRN [ ] Neither
Hospital Bedside Experience (Intensive Care): _____ Years / Months
Clinical Disability Claims Experience (STD/LTD): _____ Years / Months
Private/Commercial Insurance Case Review Experience? [ ] Yes [ ] No
Former/Current Employee of Client? [ ] Yes [ ] No
Amenable to 100% WFH Setup? [ ] Yes [ ] No

Role

Account Manager

Timings

Rotational Shifts (Contract To Hire)

Industry

BPO

Work Mode

Work from Home

Process

Non-Voice

Functional Area

ITES / BPO / Customer Service

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