Job Description
As a Clinical Specialist, you will analyze medical information related to disability claims in a collaborative, multi-disciplinary digital environment. You will work closely with claim adjudicators, physicians, and rehabilitation specialists to provide expert input, set clinical direction and implement clinical strategies across various Life & Health product lines to deliver effective service solutions to enhance outcomes. You’ll have the opportunity to contribute to key projects and initiatives.
Responsibilities
- Responsible for critical analysis of medical information on Life & Health claims to assess the nature, extent and impact of medical or psychiatric conditions, as well as medical restrictions and limitations and expected recovery timelines.
- Responsible for completing thorough and objective clinical reviews, for accurately documenting the information and for delivering quality, cost efficient work product within established service standar...