Senior RN Clinical Consultant, Disability Appeals
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Job Description
Senior RN Clinical Consultant providing coaching and oversight to Clinical Consultants. Focusing on accurate assessments and fostering talent for clinical claim management.
Responsibilities:
- Work in partnership with Clinical and Vocational Leaders to provide coaching
- Serve as clinical subject matter expert in all lines of business and products
- Assist in ensuring fair and accurate assessments of medically supported functional abilities
- Cultivate talent and foster an environment of continuous learning
- Promote organizational excellence by demonstrating leadership and problem-solving behaviors
- Drive performance and ensure team meets their goals
Requirements:
- A minimum of 3+ years of (STD, LTD, Appeals) claim experience
- Minimum of 2 years disability experience
- A minimum of 5 years in direct patient care settings
- RN REQUIRED, BSN and CCM preferred
- Demonstrated proficiency in verbal and written communication
- Strong presentation abilities
- Ability to exercise independent & sound judgment in decision making
- Strong problem-solving and analytical skills
- Excellent time management & organizational skills
- Proficiency in MS Word, Excel, PowerPoint, DCMS, Claim Facts, and iProcess
Benefits:
- Contemporary, supportive, flexible, and inclusive benefits
- Skill-building opportunities
- Leadership development programs
- Philanthropic opportunities
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