Medical Consultant Disability Claims & Forensic Review
Unum
Unum is seeking a Medical Consultant for Internal Medicine, Family Practice, Occupational Medicine, and Rehabilitation in Portland, Maine. This full-time role involves leveraging your medical expertise to evaluate clinical documentation for disability claims without direct patient care. The ideal candidate will have a medical degree, an active US medical license, and a minimum of five years of clinical experience. The position offers a competitive salary and a comprehensive benefits package. #J-18808-Ljbffr
$133.5k - $274.1k
...Medical Consultant – Internal Medicine, Family Practice, Occupational Medicine... ...your medical training to review and evaluate clinical documentation for disability claims and underwriting applications... ...team partners, with reasoned forensic analysis to support the medical...DisabilityClaimsFull timeTemporary workFlexible hours$133.5k - $274.1k
...Dental, Short & Long-Term Disability Generous PTO (... ...to join us as expert Medical Consultants. This is a unique... ...medical training to review and evaluate clinical... ...documentation for disability claims in a collaborative,... ..., with reasoned forensic analysis to support the...DisabilityClaimsFull timeTemporary workWorldwideFlexible hours- ...Position Summary The Utilization Review Nurse works as responsible... ...high quality, cost efficient medical outcomes for enrollees with a... ...requests as well as claims disputes. The Utilization Review... ...complies with federal and state disability laws and makes reasonable accommodations...DisabilityClaimsWork at officeRemote work
$26 - $36.4 per hour
...involved in cases including bankruptcy, medical malpractice, civil rights claims against public schools,... ...assistance, drafting documents for review, and helping to enhance overall efficiency... ...parental leave, short- and long-term disability Firm involvement, including:...DisabilityClaimsFull timeTemporary workWork at office- ...contractor to perform psychological disability examinations for Veterans for the following... ...to support a Veteran’s disability claim. As a certified medical disability examiner, you gather and... ...through medical and military record review, interviews with Veterans, and face-to...DisabilityClaimsFor contractorsWork at office
- ...Martin's Point Health Care is looking for a Utilization Review Nurse, responsible for ensuring quality medical outcomes through effective authorization processes.... ...include reviewing prior authorizations, managing claims disputes, and mentoring new staff. This role requires...ClaimsRemote work
- ...an independent contractor to perform disability examinations for Veterans for the following... ...to support a Veteran’s disability claim. Responsibilities Gather and synthesize clinical evidence through medical and military record review, interviews with Veterans, and face-to...DisabilityClaimsFor contractorsWork at officeFlexible hours
$110k - $120k
...A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor... ...service. Participate in special account reviews and present agents and insureds with... ...: Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and profit...DisabilityClaimsFull time- ...expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and... ...of an assignment based upon the case manager's instructions Review all case materials prior to conducting investigative activity...ClaimsFlexible hours
- ...Associate Consultant, Employee Health & Benefits Award... ...and validate reviewed information Develop... ...Coordinate billing and claim issues between client... ...of insurance coverage; medical, dental, life, STD, LTD... ...are EOE Minority/Female/Disability/Vet/Sexual Orientation...DisabilityClaimsLocal areaNight shift
- ...improving patient population outcomes Reviews missing slips and creates claims to ensure appropriate billing... ...sites will document and refill medications following the guidance given by Patient... ...complies with federal and state disability laws and makes reasonable...DisabilityClaimsRelocation packageFlexible hoursAfternoon shift
- ...analyzing and researching unpaid claims, assisting in the resolution... .... NECS is a private medical practice composed of 18 oncologists... ...-generated tasks assigned Reviews monthly reports generated to... .... Short Term and Long Term disability insurances. Tuition reimbursement...DisabilityClaimsFull timeTemporary workPrivate practiceMonday to FridayWeekend work
$34.55 - $39.7 per hour
...area. Ensures freight is delivered in a claims-free and cost-efficient manner.... ...traffic signs and signals; and accurately review and complete various shipping documents,... ...color, religion, age, sex, national origin, disability status, genetics, protected veteran status...DisabilityClaimsHourly payLocal areaFlexible hoursNight shift- ...performance with respect to Medication Adherence, analysis of... ...developments, and consultant deliverables to inform... ...oversight, and review of key contractual elements... ...operations, and pharmacy claims administration... ...with federal and state disability laws and makes reasonable...DisabilityClaimsContract work
- ...The Pharmacy Design Consultant is the ultimate pharmacy... ...Complete a second level review of the data gathering... ...plan documents, claim file analysis, and review... ...client implementations, medical vendor changes, eligibility... ...Short- and Long-Term Disability, and Group Life...DisabilityClaimsTemporary workLocal areaRemote work
- ...distances to deliver freight in a safe, claims-free, and cost-efficient manner. Major... ...signs and signals; and accurately review and complete various shipping documents,... ...color, religion, age, sex, national origin, disability status, genetics, protected veteran status...DisabilityClaimsLocal areaLong distanceFlexible hoursNight shift
- ...accuracy of planograms. Responsible for reviewing and coordinating the proper use of... ...asset protection techniques, and filing claims for warehouse and vendor overages (merchandise... ...Equal Opportunity Employer, including disability/veterans. The actual compensation...DisabilityClaimsWork experience placementLocal areaFlexible hoursShift workAfternoon shift
$53.3k - $100.7k
...Vision, Dental, Short & Long-Term Disability Generous PTO (including paid time... ...General Summary: The clinical consultant is responsible for reviewing, analyzing and interpreting medical information. Works collaboratively with claims professionals, on-site physicians...DisabilityClaimsTemporary workWorldwideFlexible hours- ...health care, published more than 20 peer-reviewed studies, and delivered unmatched... ...annual reduction in overall healthcare claims costs. Lyra is transforming access to life... ...including pregnancy), national origin, age, disability, genetic information or any other category...DisabilityClaimsContract workInternshipWork at officeFlexible hours
- ...26-07-03 Position Title: Claims Representative I (South Portland,... ...guidance, and direction. Work is reviewed for technical accuracy and... ...collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase...DisabilityClaimsFull timeTemporary workLocal areaDay shift1 day per week
- ...select positions, 50% shared cost short‑term disability, and you have the option to purchase... .... Oversee and assist managers with review and audit of time and attendance punches... ...workers’ compensation and unemployment claims. Assist in managing the process and completion...DisabilityClaimsFull timeTemporary workPart timeLocal area
$18 - $21.5 per hour
...federal, and company policy. Reviews and complies with the... ...corrects and resubmits) manual claims for third party program prescription... ...relationships with the local medical community, including... ...Opportunity Employer, including disability/veterans. The actual compensation...DisabilityClaimsHourly payApprenticeshipWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift- ...deductions, and garnishments • Review and reconcile timekeeping... ..., life insurance, short-term disability, and retirement plans • Coordinate... ...FMLA, Maine Paid Family and Medical Leave (PFML), and BGCSM... ...compensation program, including claims coordination, premium audits,...DisabilityClaimsTemporary workPart timeWork at office
$40k - $75.6k
...Vision, Dental, Short & Long-Term Disability Generous PTO (including... ...IDI, Life, LTC, VB and other claim type benefit payments. The... ...documentation of resolution. Consult with field personnel, brokers... ...internal and external parties. Reviews and revises policyholder...DisabilityClaimsContract workTemporary workWork experience placementWorldwideHome officeFlexible hours$89.4k - $183.5k
...~ Experience with Fineos Admin Suite (Claims) configurations and Java customizations... ...Participate in sizing, estimation, code reviews, sprint ceremonies, and retrospectives... ...orientation, gender identity or expression, disability, or protected veteran status. The base...DisabilityClaimsTemporary workWork at office$44.01k - $90k
...lives! Job Summary LTD Claims Associates are responsible to contribute... ...claim decisions and payments on disability claims. To develop and apply... ...as clinical and vocational team consults and referrals, independent peer reviews, medical examinations, motor vehicle...DisabilityClaimsFull timeContract workPart timeWork experience placementWork at officeLocal areaRemote workWork from homeFlexible hoursShift work$97.4k - $146.1k
...and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation... ...to support our pricing, underwriting, claim forecasting, and clinical review processes. Additional responsibilities...DisabilityClaimsLocal areaFlexible hours$110k - $125k
...rates Reduce DNFB/DNFC Improve clean claim rate and first-pass yield Decrease... ...release updates Performs account level reviews and audits to ensure optimal system... ...Insurance ~ Fully Paid Short- & Long-Term Disability ~ Paid Vacation ~ Paid Sick Leave...DisabilityClaimsFull timeTemporary workRemote workMonday to Friday$78.8k - $145.13k
...global, employee-owned consultancy providing actuarial... ...figured out how to unlock - claims, clinical, social... ...commercial negotiations, legal review and integration. You'... ...Benefits include: ~ Medical, Dental and Vision -... ...-Term and Long-Term Disability - Fully paid by...DisabilityClaimsFull timeTemporary workWork experience placementRemote workFlexible hours- ...that are the most important to you (life, disability, gap to cover up to ALL of your... ...hard to help customers through insurance claims and customer paying jobs. We work with all... ...-mouth referrals and great social media reviews. We are a single shop, family owned, with...DisabilityHourly payPrice workRelocation package
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