
Clinical Disability Assessment Specialist
Há 7 dias
This role involves working as a clinical resource for the investigation and assessment of medical information regarding disability claims.
The Disability Claims Consultant serves as a technical expert, providing comprehensive medical reviews and analysis of long-term disability claims. The primary responsibility is to assess the impact of claimants' medical conditions on their function and determine the appropriateness and status of treatment plans.
Key qualifications include a valid RN license from an accredited school of nursing, proficiency in multiple computer systems, and at least 5 years of clinical nursing experience with 2 years in an acute care setting. Strong communication skills, both verbal and written, are essential for effective collaboration with treating providers, claimants, and internal partners.
The ideal candidate will have experience in identifying opportunities for return to work and resolving customer issues through proactive partnering with treating providers.
- Responsibilities:
- Review and assess claimant subjective reports and objective medical evidence.
- Conduct analysis of claimant's current treatment plan and collaborate with health care providers and claimants.
- Identify opportunities to educate claim staff and peers on medical aspects of disability claims.
- Provide ongoing training and mentoring to claims staff and peers.
Requirements:
* Valid RN license
* Proficiency in multiple computer systems
* At least 5 years of clinical nursing experience with 2 years in an acute care setting
* CCM preferred
* Experience in disability claims strongly preferred
Benefits:
Guardian offers a supportive and inclusive work environment, competitive compensation package, and opportunities for professional growth and development.
Work Environment:
This role is remote with occasional in-office meetings. No travel required.
Equal Opportunity Employer:
Guardian is committed to equal employment opportunity and welcomes applications from diverse candidates.
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