USRN Hiring
Manulife
- Lapu-Lapu City, Cebu
- Permanent
- Full-time
- Competitive Salary packages and performance bonuses
- Day 1 HMO + FREE coverage for your dependents (inclusive of same-sex partners)
- Retirement savings benefit
- Rewarding culture that values wellness and well-being
- Performance Bonus
- Global network of industry experts
- Extensive training resources
- Assess clinical needs to determine ongoing eligibility for long term care benefits
- Ongoing monitoring of claims for high-risk activity
- Make benefit eligibility determinations based on onsite/virtual assessments, functional/cognitive screening forms and/or other clinical evidence on ongoing claims
- Appropriately set clinical follow updates based on current protocols
- Complete trainings as assigned to maintain currency with protocol and guideline updates
- Collaborate with other business units as needed to provide optimum service to customers
- Participate in regular one-on-one meetings with management, attend staff meetings and attend other work activities as directed by manager
- Collaborate with senior care management staff on specific claim questions to ensure accurate decision-making
- 1.Adaptability – quick study; agile and flexible to any situation 2. Analytical and Decision-Making skills – analyze cases and claims, identify if valid and provide recommendations
- 3. High level of Attention to details
- 4. Ability to contact providers for clarification needed in order to determine benefit eligibility
- 5. Fluency with MS Office and ability to learn new computer applications easily.