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 adjudication and underwriting decisions for employee benefits products
Domain
Insurance / Healthcare / Disability Claims
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical expertise in Internal Medicine, Family Practice, Occupational Medicine, or Physical Medicine & Rehabilitation; Forensic medical analysis; Functional capacity assessment; Medical literature review; Regulatory compliance knowledge
Preferred skills
Board certification; Experience mentoring peers; Ability to manage high-volume workloads
Technologies
Claims management systems; Telehealth platforms
Responsibilities
Review and evaluate clinical documentation for disability claims; Provide timely medical direction and opinions with forensic analysis; Consult with fellow medical consultants for whole person analysis; Assess functional capacity regarding diagnoses, treatment plans, and prognosis; Contact healthcare providers to gather medical information; Make referrals for second opinion reviews when required
Seniority
Senior, hands-on IC