Clinical Consultant - Benefit Operations

Unum Group; Portland, Chattanooga (ME, TN); On-site; USD 53,000 - 101,000; Full time

Benefits offered by this job

Health, Vision, Dental

Paid time off

401(k) matching

Student loan repayment

Job summary

Unum is seeking a Clinical Consultant in Benefit Operations to assess medical information and support return-to-work decisions. The role partners with claims professionals, on-site physicians, and healthcare providers to interpret data and plan next steps.

Ideal candidates hold an Associate Degree in Nursing with an active RN license, plus 3+ years clinical experience and strong teamwork skills; a BSN is preferred. Portland, ME-based hybrid work options may apply.

Qualifications

• RN license required; BS preferred.
• 3+ years clinical experience preferred.
• Ability to work in a fast-paced, team environment.
• Associate degree or higher in nursing.

Responsibilities

• Apply medical knowledge to assess and synthesize claim file information.
• Communicate complex medical issues clearly to a multidisciplinary team.
• Collaborate with healthcare providers to clarify functional capacity and recovery expectations.
• Coach non-medical staff to increase medical knowledge.

Skills

Clinical assessment

Team collaboration

Communication skills

Adaptability

Education

Associate Degree in Nursing

RN License

Bachelor's degree preferred

Job description

Clinical Consultant - Benefit Operations### Clinical Consultant - Benefit OperationsApply: Portland, Maine, USA: Chattanooga, Tennessee, USA: Full time: Posted Today: 836438When you join the team at Unum, you become part of an organization committed to helping you thrive.Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life’s moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:* Award-winning culture* Inclusion and diversity as a priority* Performance Based Incentive Plans* Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability* Generous PTO (including paid time to volunteer!)* Up to 9.5% 401(k) employer contribution* Mental health support* Career advancement opportunities* Student loan repayment options* Tuition reimbursement* Flexible work environments### ### *\\*All the benefits listed above are subject to the terms of their individual Plans*.And that’s just the beginning... With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you’re directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!## General Summary:The clinical consultant is responsible for reviewing, analyzing and interpreting medical information. Works collaboratively with claims professionals, on-site physicians and other resources in multiple settings to assess medical information and determine appropriate next action steps. Collaborates with healthcare providers to clarify functional capacity, recovery expectations, treatment plans and initiate return to work plans where appropriate. Delivers exceptional service in every interaction, taking full accountability for a positive experience.**Principal Duties and Responsibilities*** Application of medical knowledge through assessment and synthesis of claim file information and ability to offer balanced conclusions* Ability to concisely communicate (written and verbally) complex medical issues in a fast-paced, multidisciplinary team work environment* Collaboration with internal resources to determine which pertinent medical documentation is needed to accurately assess file direction* Collaboration with external resources to establish partnerships, discuss treatment plans, and clarify functional capacity and assess file direction* Provides coaching of non-medical staff to increase medical knowledge* Operates with a sense of urgency and flexibility to meet the needs of a rapidly changing environment, while meeting performance standards set for quality and quantity of work* Displays capacity and thirst for learning and developing broad business and leadership skills; openness to diverse ideas & experiences and has self-awareness re: strengths and areas of development.* Required to maintain professional certifications, stays abreast of new trends in the medical field and completes other required educational activities **Job Specifications*** Associate Degree in Nursing and active RN License is required but BS degree strongly preferred* 3+ years clinical experience preferred* Proven ability to work in a fast-paced, team environment ~IN1#LI-CC1Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide. Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.$53,300.00-$100,700.00Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.Company:Unum