As a Disability Nurse Consultant, you'll provide clinical support throughout claim administration for Absence Management, Life and Disability products. You will review medical records and other documentation for evidence supporting claimed diagnoses as well as resulting restrictions and limitations. You will also participate in educating the claim staff on assorted anatomy, physiology, treatment, diagnostic, and pathology topics relevant to claim management and industry trends.
What you will do- Perform clinical review of medical records and other documentation to determine diagnoses and resulting restrictions or limitations. Provide comments on anticipated duration
- Proactively contact healthcare providers to acquire additional information and insight into the specifics of a condition(s) under review and for consideration in clinical opinion to aid in claim management
- Perform clinical claim administration tasks within departmental metrics for productivity relating to turn around time, documentation, qualitative, quantitative, and customer service in support of LAD lines of business
- Communicate effectively with internal and external partners, collaborate in a team environment, demonstrate core values and clinical expertise
- Seek out additional training and project work outside of immediate claim reviews to improve knowledge and business processes
What we offer youBenefits and PerksWe don't take a "one-size-fits-all" approach when it comes to our employees. Our programs are designed to make your life better both at work and at home.
- Flexible full-time or hybrid telecommuting arrangements
- Plan for your future with our 401(k) plan and take advantage of immediate vesting and company matching up to 6%
- Paid time away including vacation and sick time, flex days and ten paid holidays
- Give back to your community and double your impact through our company matching
- Want more details? Check out our Symetra Benefits Overview
CompensationSalary Range: $72,700 - $121,100 plus eligibility for annual bonus program
Who you are - High School Diploma required. Degree in nursing from an accredited college or university required
- Active RN license(s) required
- Two years or full-time equivalent of direct clinical care required in an acute care setting required
- Previous clinical experience in disability/absence management, occupational health, psychiatric nursing in a disability management setting preferred
- Certification in case management, rehabilitation nursing or a related specialty preferred
- Excellent customer service and collaboration skills
- Capable of balancing priorities and deadlines with minimal supervision
- Clear, detailed, and concise communication both verbally and written
- Able to work as part of a team
- Excellent at multi-tasking
- Proficient in the Microsoft Office suite of products
- Comfortable working in a fast-paced deadline driven environment
