Disability Clinical Specialist

This is a fully remote position, open to applicants in Iowa.

📋 Description

• Conduct standard clinical assessments and evaluations of disability claims that require further review.

• Analyze medical documentation and utilize clinical expertise to validate disability claims, interpreting how conditions affect job performance.

• Engage with employees and providers via phone and/or written correspondence regarding clinical updates, progress, and work status.

• Offer follow-up suggestions for ongoing medical management of claims.

• Attain suitable quality audit scores.

• Serve as a clinical resource for claims examiners, offering guidance on medical terminology and claims decisions.

• Act as a backup for essential disability claims on an as-needed basis.

• Carry out additional assigned tasks.

• Travel as necessary.

⛳️ Requirements

• A Bachelor's degree or equivalent is preferred.

• Valid RN, LVN, LPN, CRC, COHN CVE, LPC, and/or LCSW licenses are required.

• Active license, registration, and/or professional designations as mandated within the jurisdiction.

• Maintain clinical expertise by completing the necessary continuing education units (CEUs) to uphold licenses and designations.

• A minimum of four (4) years of relevant experience or a suitable mix of experience and education is required.

• Experience in a direct medical or psychological environment or in physical industrial medicine.

• Prior experience in insurance or a related field.

• Familiarity with current medical practices in health care management, covering areas such as orthopedics, general medicine, general surgery, mental health, obstetrics, oncology, and physical and occupational rehabilitation.

• Exceptional oral and written communication skills, including presentation abilities.

• Competent computer skills, with a working knowledge of Microsoft Office.

• Strong analytical and interpretive abilities.

• Excellent organizational and multitasking capabilities.

• Outstanding interpersonal skills.

• Ability to exercise sound judgment and critical thinking.

• Capability to work collaboratively in a team setting.

• Ability to meet or surpass Performance Competencies.

• Ability to sit at a desk for extended periods while using a computer and telephone system.

• Travel as necessary.

🏝️ Benefits

• Work-life balance.

• Reasonable accommodations when applicable and appropriate.

• A diverse, equitable, and inclusive workplace.

• Equal Opportunity Employer.

• Drug-Free Workplace.