Work From Anywhere in LATAM or the PhilippinesWork Schedule:Eastern Time | 9:00 AM – 5:00 PM ET, 100% overlap required (Monday–Friday)A founder-led, tech-enabled legal-medical services company is looking for a Client Operations Manager to own end-to-end case coordination and act as the operational backbone linking law firms, insurance carriers, and medical experts.The business is early-stage and lean, where one person owns broad operational scope and effectively runs their own workflow like a mini-GM.
Transactions are high-dollar and high-stakes, the audience is legal and medical professionals, and the culture rewards ownership, precision, and resourcefulness over rigid process.Day-to-day, this role owns a high-volume, multi-channel queue of active cases across email, phone, and portal; manages invoicing, scheduling, and coordination; and builds or repairs the trackers and processes that keep everything moving.
Success means the founders no longer have to chase confirmations or invoices — they fully trust that day-to-day case management is handled, freeing them to focus on growth.RequirementsMust-Have4+ years owning a high-volume queue of cases, accounts, or client relationships end-to-end in a B2B services environmentProven experience managing high concurrent volume across multiple channels (email, phone, client portal)Hands-on ownership of money-adjacent workflows (invoicing, billing, or claims/case financial coordination) under zero-defect accuracy requirementsTrack record of building or repairing a tracker, SOP, checklist, or workflow process from scratchProficiency with Excel and Outlook plus at least one CRM, case-management, or client-portal systemC1+ English (CEFR) — written and spoken at near-native, mastery level for direct communication with US attorneys and medical professionalsAvailability to work 9:00 AM – 5:00 PM ET with 100% overlapNice-to-HaveDomain exposure to medicolegal, legal services,



IME, medical records, insurance, or claims coordinationExperience at an early-stage startup or lean, founder-led services business with broad individual operational ownershipExperience coordinating directly between external professional stakeholders (law firms, medical providers, insurance carriers)Demonstrated ability to rapidly learn bespoke or proprietary internal tools and systemsDocumented promotions or expanding scope within a single organizationAbout Pearl TalentPearl works with the top 1% of candidates from around the world and connects them with the best startups in the US and EU.
Our clients have raised over $5B in aggregate and are backed by companies like OpenAI, a16z, and Founders Fund.
They're looking for the sharpest, hungriest candidates who they can consistently promote and work with over many years.
Candidates we've hired have been flown out to the US and EU to work with their clients, and even promoted to roles that match folks onshore in the US.Hear why we exist, what we believe in, and who we're building for:Watch here:BenefitsCompetitive Salary:Based on experience and skillsRemote Work:Fully remote—work from anywhereTeam Incentives:Recognition for maintaining 100% CRM hygiene and on-time reportingGenerous PTO:In accordance with company policyHealth Coverage for PH-based talents:HMO coverage after 3 months for full-time employeesDirect Mentorship:Guidance from international industry expertsLearning & Development:Ongoing access to resources for professional growthGlobal Networking:Connect with professionals worldwideOur Recruitment ProcessApplicationScreeningSkills AssessmentTopgrading InterviewClient InterviewJob OfferClient OnboardingReady to Join Us?
If you're empathetic, organized, and passionate about improving patient experiences through operational excellence, this role is for you.
Apply now to help make specialized healthcare more accessible to patients across the U.S.

📌 Remote Client Operations Manager For Legal Services Company (Xico)
🏢 Pearl
📍 Xico