- Moderate knowledge of computer systems - computer literacy.
- Strong written/verbal communication.
- Current RN licensure
- 4+ years of experience as an RN
- Disability claims experience or worker's comp claims experience
- Possess strong knowledge of medical conditions, symptoms, and terminology.
- BSN
- 7+ years Disability claims and/or clinical experience.
- Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist).
- Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation and assessment for various claims-related departments, while managing assigned caseload of complex case applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues.
- Conducts complex research, review and analysis of medical records, treatment plans and claim information.
- Provides recommendations regarding claimants' current potential functional abilities.
- Engages claimants, healthcare providers, employers and customers to ensure strict adherence in determining functional abilities.
- Creates effective requests for medical information which focus on clarifying medical restrictions and limitations and their impact on work functionality.
- Performs other related duties as assigned or required
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Senior Consultant - Hometown, United States - Axelon
Description
Job Description:
Part time 20 hours per week
Fully virtual role - hours are flexible
Max PayRate : 85$
Current RN licensure required and required to be maintained throughout length of assignment
Required
Job Description:
Role Value Proposition:
At
, we seek to make a meaningful impact in the lives of our customers and our communities.
The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and solutions to address core business challenges with
. This role will work with claimants, physicians, employers, and customers to ensure strict adherence in determining functional abilities.Key Responsibilities:
Essential Business Experience and Technical Skills:
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