Healthcare Case Administrator (Onsite)

Job Description

Position Information

Job Title: Healthcare Case Administrator (Onsite)
Department: Operations
Reports To: Team Manager / Operations Manager
Location: Kingston (Onsite) – Jamaica
Employment Type: Full-Time

Job Summary

The Healthcare Case Administrator is responsible for managing healthcare and insurance-related cases, claims, and administrative processes from initiation through resolution. This role serves as a key liaison between clients, healthcare providers, insurance carriers, and internal stakeholders, ensuring accurate documentation, timely follow-up, and successful case outcomes.

The ideal candidate is highly organized, detail-oriented, and capable of managing multiple cases simultaneously while delivering exceptional service. Success in this role requires strong problem-solving abilities, excellent communication skills, and a proactive approach to resolving issues efficiently and accurately.

Work Schedule

• Schedule: Monday to Friday
• Standard Hours: 8:00 AM – 5:00 PM
• Time Zone: Must be able to work aligned with U.S. business hours
• Daylight Savings: Work hours may adjust during U.S. Daylight Saving Time
• Weekends Off
• Flexibility: Required based on operational needs and client requirements

Essential Job Functions

(Listed in order of importance with approximate % of time. Total equals 100%.)

#

Function

% of Time

Insurance Claims & Case Management – Manage insurance claims, applications, and case-related activities from initiation through resolution. Ensure all required documentation is complete, accurate, and submitted within established timelines.

 - 30%

Client Communication & Coordination – Serve as the primary point of contact for clients, insurance carriers, and third parties. Provide updates, answer inquiries, and facilitate communication to ensure a positive client experience.

- 25%

Investigation & Problem Resolution – Research claim discrepancies, investigate delays, identify root causes of issues, and implement solutions to prevent disruptions or denials.

 - 20%

Documentation Review & Administrative Support – Collect, review, organize, and maintain insurance documentation, correspondence, and records while ensuring compliance with company standards.

 - 15%

Case Tracking & Reporting – Maintain accurate records in CRM and case management systems, monitor case progress, prepare reports, and ensure all information remains current and audit-ready.

 - 10%

Total: 100%

Required Qualifications (Knowledge, Skills & Experience)

• Minimum 5 CXCs, including Mathematics and English
• Minimum 1 year of experience in one or more of the following:

• Administrative Support
• Insurance Claims Processing
• Insurance Advisory Services
• Insurance Administration
• Healthcare Administration
• Customer Service within an insurance environment

• Strong attention to detail with a commitment to accuracy and quality
• Ability to work independently with minimal supervision
• Excellent investigative, analytical, and problem-solving abilities
• Strong organizational and time management skills
• Intuitive thinker with sound judgment and decision-making capabilities
• Excellent verbal and written communication skills
• Ability to multitask and prioritize competing responsibilities effectively
• Strong proficiency using CRM systems, case management platforms, and productivity tools
• Ability to maintain confidentiality and handle sensitive information professionally

Preferred Qualifications

• Experience working within the insurance industry, including claims administration or policy servicing
• Familiarity with insurance eligibility requirements, claims workflows, and documentation standards
• Experience working with U.S.-based insurance programs or clients
• Prior experience in healthcare, insurance, benefits administration, or related industries
• Experience using Salesforce or similar CRM platforms

Core Competencies

• Attention to Detail
• Investigative Thinking
• Critical Thinking & Analysis
• Problem Solving
• Client Service Excellence
• Communication Skills
• Time Management
• Organization & Planning
• Accountability
• Professional Judgment

Work Conditions / Physical Demands / Travel Requirements

This position operates in a professional onsite office environment located in Kingston, Jamaica. The role requires:

• Extended periods of computer and headset use
• Frequent phone and email communication with clients and insurance providers
• Managing multiple cases simultaneously while meeting deadlines
• Maintaining strict confidentiality and data security standards
• Adherence to company policies, procedures, and quality standards

What We Offer

Earn JMD $130,000 - $150,000 Base Salary + Benefits!

Why Join Our Team?

✅ US$100 Sign-On Bonus (paid upon successful completion of probation)

✅ Earn JMD $130,000 - $150,000 Base Salary

✅ Health Insurance Benefits

✅ Corporate Business Hours aligned with U.S. operations

✅ Monday-Friday Schedule

✅ Weekends Off

✅ Professional Growth Opportunities

✅ Supportive Team Environment

Who You Are

You are organized, proactive, and thrive in an environment where accuracy, accountability, and insight matter. You enjoy solving problems, investigating issues, and ensuring processes are completed correctly the first time. You can work independently, make sound decisions, and effectively manage competing priorities while maintaining a high level of professionalism.

Important Notes

• Responsibilities may evolve based on client needs, regulatory requirements, or business growth.
• Accuracy, professionalism, confidentiality, and timeliness are critical due to the sensitive nature of insurance-related information.
• Strong follow-through, initiative, and proactive communication are essential for success in this role.

Disclaimer

This job description outlines the general nature and level of work performed and is not an exhaustive list of duties or responsibilities. Duties may be adjusted to meet business needs.

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