Medical Consultant
Core
Review and evaluate clinical documentation for disability claims to provide expert medical analysis and functional capacity assessments.
Role type
Senior Medical Consultant (Physician)
Builds
Disability claims adjudication and underwriting support for employee benefits products
Domain
Insurance / Healthcare Claims
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Internal Medicine, Family Practice, Occupational Medicine, Physical Medicine & Rehabilitation expertise, forensic medical analysis, functional capacity assessment, regulatory compliance, high-volume case management, second opinion coordination
Preferred skills
Mentorship, team collaboration, medical education delivery
Technologies
Claims management systems, telehealth platforms
Responsibilities
Review and evaluate clinical documentation for disability claims, apply medical knowledge to determine functional capacity, perform telephone contacts with healthcare providers, make timely referrals for second opinion reviews, manage high volumes of assigned work, provide medical direction and opinions to team partners
Seniority
Senior, hands-on IC
