Clinical Consultant, Disability & Return-to-Work

Sun Life Financial; Portland (ME); Hybrid; USD 77,000 - 116,000; Full time

Benefits offered by this job

Vacation & sick time

Family leave

Medical coverage

Life & AD&D insurance

Disability programs

Sabbatical program

401(k) match

Stock purchase plan

Employer-funded retirement

Job summary

Sun Life U.S. is seeking a Clinical Consultant to join the Clinical Services team in a hybrid role.

You will apply clinical expertise within an interdisciplinary group that focuses on returning clients to productive work, using electronic medical records and phone/fax communication rather than direct care. You will evaluate complex medical conditions, provide treatment insights, and partner with claims professionals to inform decisions.

Qualifications

• RN licensure active and unrestricted.
• BSN preferred.
• CCM/CRRN certification or eligible with 3+ years clinical experience with adult population.
• Experience in rehabilitation, Occupational Health, Case/Care Management, Disability Insurance, or Workers' compensation a plus.
• Strong communication across multiple audiences.
• Proficiency with MS Office and clinical systems.
• Self-motivated with excellent critical thinking, time management, and judgment skills.

Responsibilities

• Evaluate medical documentation to assess disability claims and functional capabilities.
• Provide clinical insight on complex medical conditions, treatment plans, and recovery timelines.
• Collaborate with claims professionals to synthesize facts and support quality decisions.
• Educate and consult with physicians, vocational counselors, employers, and other stakeholders.
• Communicate medical determinations via phone and written reports.
• Support return-to-work (RTW) planning through evaluation of restrictions, accommodations, and functional potential.
• Participate in peer collaboration and claims roundtables to share best practices.
• Mentor peers and educate internal teams on clinical topics and trends.

Skills

Communication skills

MS Office proficiency

Critical thinking

Time management

Education

RN licensure (active, unrestricted)

BSN preferred

CCM or CRRN certification or eligible

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Clinical systems

Job description

Sun Life U.S. is seeking a Clinical Consultant to join the Clinical Services team in a hybrid role.

You will apply clinical expertise within an interdisciplinary group that focuses on returning clients to productive work, using electronic medical records and phone/fax communication rather than direct care. You will evaluate complex medical conditions, provide treatment insights, and partner with claims professionals to inform decisions.