Job Summary
A company is looking for a Behavioral Health Clinical Consultant for Disability Claims.
Key Responsibilities
- Review and analyze short-term and long-term disability claims to assess the impact of medical conditions on claimants' functionality
- Collaborate with healthcare providers and claimants to promote accountability for treatment plans and facilitate return-to-work goals
- Provide training and mentoring to claims staff on the medical aspects of disability and proactively resolve customer issues
Required Qualifications, Training, and Education
- A minimum of 5 years in direct patient care settings
- BSN with a strong Behavioral Health background preferred, or LCSW or other licensed Behavioral Health professional with disability claims experience
- Strong knowledge of medical conditions related to disability products
- Experience with DCMS, Claim Facts, and iProcess preferred
- Disability experience strongly preferred
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