PHRN/ USRN Healthcare Clinical Disability Claims

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