PHRN/ USRN - Clinical Disability Claims

Gratitude Inc

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13 hours ago

PHRN/ USRN - Clinical Disability Claims

5-6 Year(s)

Manila (Pasay City)
(Base Location for WFH)

Job Description

Key Skills

Clinical disability claims PHRN/ USRN Active license

1 candidate(s) have already applied for this Job. Apply now

PHRN / USRN – Clinical Disability Claims | Work From Home | Nationwide

Join a Leading Healthcare Team as a Clinical Disability Claims Specialist

We are looking for experienced Philippine Registered Nurses (PHRN) and US Registered Nurses (USRN) with a strong clinical background to join our Clinical Disability Claims team. This is an excellent opportunity for healthcare professionals who have experience in clinical case review and disability claims assessment within the commercial insurance industry.

If you're passionate about combining your clinical expertise with healthcare operations while enjoying a permanent work-from-home setup, we'd love to hear from you.

Key Responsibilities

Conduct comprehensive clinical reviews of Short-Term and Long-Term Disability claims.
Assess medical records and supporting documentation to determine claim eligibility.
Apply clinical judgment to ensure accurate and timely claim decisions.
Collaborate with internal stakeholders to resolve complex clinical cases.
Ensure compliance with company policies, clinical guidelines, and regulatory requirements.
Maintain accurate documentation and meet quality, productivity, and turnaround time standards.
Deliver high-quality clinical support while maintaining confidentiality and professionalism.

Qualifications

Active PHRN or USRN license.
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, preferably handling Short-Term Disability (STD) and Long-Term Disability (LTD) claims.
Experience conducting Clinical Case Reviews is required.
Background in private or commercial insurance is required.
Strong clinical assessment, analytical, and documentation skills.
Excellent written and verbal communication skills.
Must not be a current or former employee of the hiring organization.

Why Join Us?

Permanent Work-from-Home setup.
Nationwide hiring within the Philippines.
Competitive salary and comprehensive benefits.
Opportunity to work with a highly experienced healthcare operations team.
Career growth in clinical case management and insurance services

Role

Clinical Coding Analyst

Timings

Rotational Shifts (Permanent)

Industry

BPO

Work Mode

Work from Home

Process

Non-Voice

Functional Area

ITES / BPO / Customer Service

Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.