Medical Consultant Disability Claims & Forensic Review
Unum Ireland
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 opportunity... ...medical training to review and evaluate clinical... ...for disability claims in a collaborative, team... ..., with reasoned forensic analysis to support the...DisabilityClaimsFull timeTemporary workWork from homeWorldwide- ...provider of employee and government benefits with a hybrid work model. As a Clinical Consultant in our Clinical Services team, you will review medical documentation to support disability claims, provide clinical insights, and coordinate with claims professionals to drive...DisabilityClaims
$19.8 - $27 per hour
...prescriptions by counting or pouring medications, labeling containers, and... ...complete manual insurance claim forms if needed.Maintain... ...report and reports from Control D.Review and understand ACIS reports.... ...identity and gender expression, disability, or any other characteristic...DisabilityClaimsLocal areaNight shift- ...Medicaid and all 3rd Party Insurance claims. Submit reviews and correct any claims to insure proper... ...vision, retirement benefits, short-term disability, long-term disability, and paid time... ...COVID-19 vaccination unless exempt due to medical, religious, or personal beliefs....DisabilityClaimsTemporary workWork at office
$238.39k - $294.48k
...5.Position SummaryThe Medical Director provides professional... ...Services, benefits & claims management, and... ...Performs medical necessity reviews of requests for health... ...roles. Please consult with your leader to discuss... ...federal and state disability laws and makes reasonable...DisabilityClaimsFull timeHome office- ...Elevance Health is seeking a Clinical Review Nurse I – Medicare Part B. This role supports federal programs with virtual work and... ...locations may apply within a commuting distance. You will review claims for medical necessity using policy guidelines and communicate...ClaimsWork at officeRemote work
$286.07k - $353.38k
...performance with respect to Medication Adherence, analysis of... ...developments, and consultant deliverables to inform... ...oversight, and review of key contractual elementsExperience... ..., and pharmacy claims... ...with federal and state disability laws and makes reasonable...DisabilityClaimsFull timeContract workRemote work$48k - $72k
...made to enable individuals with disabilities to perform all functions.... ...demands and productivity goals. Reviews comment cards and guest... ...for forecasting, productivity, claims, customer service, and turnover... ...BenefitsEmployees are eligible to enroll in medical, dental, and vision insurance...DisabilityClaimsHourly payTemporary workAll shiftsShift work$100k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...management team, especially when it relates to reviewing large losses. Our entire claims team... ...of employment visas. If you have a disability under the Americans with Disabilities Act...DisabilityClaimsFull timeLocal areaRemote work$20.2 - $24.95 per hour
...improving patient population outcomes Reviews missing slips and creates claims to ensure appropriate billing At... ...sites will document and refill medications following the guidance given by Patient... ...complies with federal and state disability laws and makes reasonable...DisabilityClaimsFull timeFlexible hoursAfternoon shift$31.37 - $52.28 per hour
...lives! Job Summary LTD Claims Lead (CCU) is responsible for... ...adjudication of complex Long-Term Disability (LTD) files within the group... ...incentive program. ~ Medical & prescription, dental, vision... ...further information, please review the Know Your Rights notice from...DisabilityClaimsHourly payWork at officeLocal areaRemote workWork from homeFlexible hours- ...financial success.The Clinical Care Consultant is responsible for supporting OneAmerica's Claims operation acting both in a... ...and to provide comprehensive reviews of medical information. They are... ...assessments of Short- and Long-Term Disability claims and Life Waiver of...DisabilityClaimsFull timeTemporary workPart timeWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hours
$23.74 per hour
...Service Representative to serve as a first point of contact for claims-related calls. If you thrive in a fast-paced environment, enjoy... ...race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation...DisabilityClaimsWork at office$133.35k - $192.15k
...collaborate with colleagues across risk consulting, underwriting, catastrophe modeling, claims, and analytics, as well as... ...: Conduct field assessments; review plans and technical studies;... ...ancestry, mental and physical disability, medical condition, genetic information,...DisabilityClaimsLocal area- ...Sun Life U.S. is seeking a Clinical Consultant to join the Clinical Services team in a hybrid... ...to productive work, using electronic medical records and phone/fax communication rather... ...treatment insights, and partner with claims professionals to inform decisions. #J-...DisabilityClaims
$65 - $75 per hour
...works closely with the Analytics team to review, analyze, and provide graphical and... ...software tools such as SQL, SAS, R to query medical claims data and provide clients reports for... ...expression, sexual orientation, marital status, disability, veteran status, or any other basis...DisabilityClaimsWork at officeLocal areaImmediate start$38.6k - $52.1k
...Sun Life U.S. Group Benefits Claims Shared Services Sun Life U.S.... ...services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and... ...this position will be to: ~ Review new and existing claim documentation...DisabilityClaimsTemporary workLocal areaFlexible hours$110k - $120k
...Acadia Insurance Claims InvestigatorAcadia Insurance is a regional property casualty insurer... ...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$86.4k
...premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis... ...and devise potential solutions. Review the appropriateness of the results... ...protected veterans or individuals with disabilities and prohibit discrimination...DisabilityClaimsFor contractorsWork at officeLocal areaShift work- ...steadily grow. Job Description Will support manager and individual contributors in day to day management of task related disability claims administration. This is all computer based work and candidate should be proficient in navigating on the computer and have...DisabilityClaimsWork at office
$90k - $110k
...policy requirements. Conduct risk-based reviews and assessments to identify compliance... ...of: HIPAA HITECH False Claims Act Anti-Kickback Statute Stark Law... ...Insurance ~ Fully Paid Short- & Long-Term Disability ~ Paid Vacation ~ Paid Sick Leave...DisabilityClaimsFull timeContract workTemporary workFor subcontractorWork at officeRemote workMonday to Friday- ...written project documentation. Review and document the processes... ...pursuant to the Alaska Native Claims Settlement Act, in accordance... ..., sex, national origin, age, disability, marital status, veteran status... ..., and a variety options for medical, dental, and vision insurance...DisabilityClaimsContract workWork at officeLocal areaRemote work
$17 - $23.25 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 payFull timeApprenticeshipWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift- ...rate laws, to either resolve claims/complaints or to make final determination... ...comprehensive evidence review, detailed fact analysis, and... ...benefits package including medical, vision, and dental ~... ...groups, women, individuals with disabilities, veterans, and LGBTQIA2S...DisabilityClaimsHourly payPermanent employmentFull timeContract workWork at office
$53.46k
...complex appeal or retrospective review requests including pre-pay... ...the requested services meet medical necessity guidelines. Documents... ...skills Knowledge of claims systems Presentation skills... ...sex, religion, veteran status, disability, weight, sexual orientation,...DisabilityClaimsFull timeFor contractorsWork experience placementLocal areaRemote workMonday to FridayShift work$18.19 - $27.34 per hour
...emailing and answering telephone Reviews, researches and/or enters... ...and trends loss and damaged claims filed to identify improperly... ...Opportunity Employer including, Vets/Disability. Reasonable accommodations... ...Pay Transparency Family and Medical Leave Act (FMLA) Employee...DisabilityClaimsHourly payMinimum wageFor contractorsWork at office$163.7k - $336k
...equally credible in a deep technical design review, in a vendor negotiation with a... ...service enablement across finance, actuarial, claims, sales, and operations.Stand up and... ...services, ideally group benefits, life, disability, absence management, or supplemental health...DisabilityClaimsFull timeContract workTemporary workWork at officeShift work$89k - $147k
...products and services, including Group Disability Insurance. We are known for delivering on... ...way.The Team Lead, Long-Term Disability Claims will deliver benefit experiences that help... ...yearly bonus potential at every level. Medical, dental, vision, life insurance,...DisabilityClaimsFull timePart time$54.1k - $81.2k
...benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation... ...Opportunity: This position is responsible for reviewing claims, interpreting and comparing contracts,...DisabilityClaimsContract workWork at officeLocal areaFlexible hours
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