Clinical Disability Claims Specialist (PHRN/USRN) | Permanent | Nationwide

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.