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
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical analysis, functional capacity assessment, diagnosis accuracy evaluation, treatment plan review, prognosis determination, healthcare provider communication, regulatory compliance, high-volume case management
Preferred skills
Team collaboration, mentoring, providing medical education to non-clinical audiences
Technologies
Claims management systems, telehealth platforms
Responsibilities
Provide timely medical direction and forensic analysis for claims; consult with fellow medical consultants; assess medical data to determine functional capacity; communicate with healthcare providers to gather information; make referrals for second opinions; manage high volumes of assigned work
Seniority
Mid-Senior level, hands-on IC