Clinical Consultant - Absence Operations
Core
Review, analyze, and interpret medical information to assess claim files and determine appropriate next action steps for employee benefits.
Role type
Clinical Consultant (Absence Operations)
Builds
Medical assessments and return-to-work plans for client employees
Domain
Employee benefits and health insurance
Required skills
Medical knowledge assessment, synthesis of claim file information, functional capacity clarification, recovery expectation analysis, treatment plan initiation, return-to-work planning, coaching non-medical staff
Preferred skills
BS degree in Nursing, 3+ years clinical experience, broad business and leadership skills
Technologies
None stated
Responsibilities
Review and analyze medical information to assess claim file direction; Collaborate with claims professionals and on-site physicians; Clarify functional capacity and recovery expectations with healthcare providers; Initiate return-to-work plans; Coach non-medical staff on medical knowledge; Maintain professional certifications and stay abreast of medical trends