Medical Consultant
Core
Review and evaluate clinical documentation for disability claims and underwriting applications to provide expert medical analysis.
Role type
Senior Medical Consultant (Physician)
Builds
Disability claims decisions and underwriting risk assessments for Unum US product lines
Domain
Insurance / Disability Claims / Internal Medicine / Family Practice / Occupational Medicine / Physical Medicine & Rehabilitation
Required skills
Clinical expertise in Internal Medicine, Family Practice, Occupational Medicine, or Physical Medicine & Rehabilitation; Forensic medical analysis; Functional capacity assessment; Regulatory compliance; Team collaboration; Medical education
Preferred skills
Mentoring peers; Managing high-volume workloads; Telephone communication with healthcare providers
Technologies
Claims management systems; Medical documentation review tools
Responsibilities
Provide timely medical direction and forensic analysis for disability claims; Assess functional capacity and accuracy of diagnoses/treatment plans; Consult with healthcare providers to gather medical information; Make referrals for second opinions; Mentor team members and provide feedback
Seniority
Senior, hands-on IC