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Clinical Consultant (Disability)

Company: OneAmerica Financial Partners, Inc.
Location: Portland
Posted on: March 19, 2023

Job Description:

If you are a job seeker with a disability and require a reasonable accommodation to apply for one of our jobs, you will find the contact information to request the appropriate accommodation by visiting the following page: RO Portland ME
South Portland, ME 04106, USA
At OneAmerica, we deliver on promises when customers need us most. We believe the best way to serve our customers is to know that every individual, employee, family and business we work with has unique personal and financial goals. We keep our promises, so we can help them achieve their goals and realize their definition of financial success.The Clinical Consultant is responsible for supporting OneAmerica's Disability Claims operation by serving as a clinical subject matter expert for the clinical and claims teams. They are also expected to work closely with the Director, Clinical and Vocational and collaborate with other resources within the disability claims department when working on continuous improvement projects and initiatives.KEY RESPONSIBILITIES:

  • Conduct comprehensive clinical assessments of short and long-term disability claim referrals.
  • Participate in multidisciplinary meetings as the clinical resource. Provide answers regarding medical issues, and functionality. Provide clear and complete clinical short and long-term clinical recommendations.
  • Assist disability claims associates when they submit files for peer reviews, IMEs, or FCEs by providing guidance around the specialty of provider to utilize and questions to ask of that provider.
  • Collaborate with internal resources to assist the claims team in developing a sound action plan for a disability claim
  • Document claim files and systems in a clear and professional manner.
  • Identify opportunities for process improvements
  • Participate in pilots -and projects, as needed, within the department.
  • Provide -support and training to the claims department around specific medical conditions and clinical trends to improve medical knowledge.
  • Act as a mentor to new clinical peers.QUALIFICATIONS & REQUIREMENTS:
    • Must be a Registered Nurse (RN) and possess current licensure. License must be current and without standing or pending censure by any state
    • Minimum of 2 to 3 years of recent work experience within disability claims carrier environment strongly preferred (Life, Waiver, LTC experience may be considered).
    • Or any combination of education and experience which would provide an equivalent backgroundSalary Band: 06BThis selected candidate will be expected to work hybrid in Portland, ME for local candidates. Non-local candidates will be fully remote. The candidate will also be expected to physically return to the office in CA, WI, IN or ME as business needs dictate or for team-building and collaboration.If you are offered and accept this position, please be advised that OneAmerica does not have any offices located in the State of New York and OneAmerica associates are not permitted to work remotely in the State of New York. -Disclaimer: OneAmerica is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual's race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.For all positions:Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.To learn more about our products, services, and the companies of OneAmerica, visit oneamerica.com/companies.

Keywords: OneAmerica Financial Partners, Inc., Portland , Clinical Consultant (Disability), Healthcare , Portland, Oregon

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