Medical Consultant- Psychiatrist
Core
Provide expert medical analysis of claims files and underwriting applications to determine functional capacity, accuracy of diagnoses, and treatment plans for insurance claims.
Role type
Medical Consultant (Psychiatrist)
Builds
Medical opinions and forensic analysis supporting insurance claims decisions
Domain
Insurance / Healthcare
Required skills
Medical diagnosis, functional capacity assessment, treatment plan evaluation, regulatory compliance, medical record review, provider communication, forensic analysis, team collaboration, mentorship
Preferred skills
None stated
Technologies
None stated
Responsibilities
Provide timely medical direction and forensic analysis; consult with fellow medical consultants; apply medical knowledge to determine functional capacity; perform telephone contacts with healthcare providers; make referrals for second opinions; manage high volumes of assigned work
Seniority
Mid-Senior level (5+ years experience)