Clinician
Core
Review medical documentation in complex illness and injury claims to determine medically supported restrictions and limitations for claim management.
Role type
Senior clinical case manager (RN/PT/OT)
Builds
Clinical assessments and restriction determinations for Long-Term Disability claims
Domain
Insurance / Long-Term Disability
Required skills
RN/PT/OT license, acute care experience, case management, analytical thinking, written communication, verbal communication
Preferred skills
Insurance industry experience, Long-Term Disability product experience
Responsibilities
Review and assess complex illness and injury claims, Identify restrictions and limitations based on physiological, psychological, and social factors, Assist in strategy and resource utilization, Document clinical assessments and contact Treating Providers, Engage with Disability Claim Team Members and Vocational Rehabilitation Counselors
Seniority
Mid-level, independent contributor