Hybrid Clinical Consultant – Disability Claims

Sun Life; Hartford (CT); Hybrid; USD 77,000 - 116,000; Full time

Job summary

Sun Life U.S. is seeking a Clinical Consultant to join our Clinical Services team in a hybrid role. You will evaluate disability documentation, provide expert clinical insights, and collaborate with claims professionals to guide decisions.

The role emphasizes return-to-work planning and stakeholder education, with mentorship of peers. The ideal candidate holds an active RN license (BSN preferred), 3+ years of relevant clinical experience, and proficiency with MS Office and clinical systems.

Qualifications

• RN licensure active and unrestricted.
• BSN preferred.
• CCM/CRRN certification encouraged or eligible.

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 support quality decisions.
• Educate physicians, vocational counselors, employers, and other stakeholders.
• Communicate medical determinations via phone and written reports.
• Support return-to-work planning through evaluation of restrictions and accommodations.
• Participate in peer collaboration and claims roundtables to share best practices.
• Mentor peers and educate internal teams on clinical topics and trends.

Skills

RN licensure

BSN preferred

CCM/CRRN

3+ years clinical experience

Communication skills

Microsoft Office

Education

BSN or higher

Tools

Clinical systems

Microsoft Office

Job description

Sun Life U.S. is seeking a Clinical Consultant to join our Clinical Services team in a hybrid role. You will evaluate disability documentation, provide expert clinical insights, and collaborate with claims professionals to guide decisions.

The role emphasizes return-to-work planning and stakeholder education, with mentorship of peers. The ideal candidate holds an active RN license (BSN preferred), 3+ years of relevant clinical experience, and proficiency with MS Office and clinical systems.