Lead Medical Risk Consultant
Core
Provide consultancy advice, training, and clinical risk assessments for Accident and Health (A&H) large claims and reserves.
Role type
Lead Medical Risk Consultant
Builds
Clinical risk management strategies and product development for high-cost claims
Domain
Insurance / Healthcare Risk
Deliverable
client delivery
Required skills
Clinical assessment, Claims evaluation, Reserve setting, Regulatory monitoring, Contract review, Thought leadership
Preferred skills
None stated
Technologies
None stated
Responsibilities
Perform new business and renewal large claims reviews and disclosure assessments; Provide clinical assessment and recommendations for setting reserves on large dollar claims; Present in-house clinical education to enhance understanding of high-cost diagnoses; Consult with internal and external clients on high-cost, complex claims; Review transplant contracts and vendor selections for quality control
Seniority
Lead, hands-on IC