Medical Consultant

Unum Ireland; Portland (ME); Hybrid; USD 140,000 - 190,000; Full time

Job summary

Unum is expanding its team of experienced physicians to join as Medical Consultants. This full-time, home-based role reviews and evaluates clinical documentation for disability claims across Unum US product lines, delivering expert medical analysis to the Benefits Center.

You'll work with a collaborative team, applying current standards and maintaining licenses and board certifications while delivering timely, high-quality consultations to internal partners and health care providers.

Qualifications

• Professional degree and unrestricted US medical license.
• Board certification in PM&R, Internal Medicine, Occupational Medicine or Family Practice.
• Minimum of five years of clinical experience in a medical specialty.

Responsibilities

• Provide medical direction and opinions with forensical analysis for disability claims.
• Collaborate with fellow medical consultants for whole-person analysis.
• Assess functional capacity using medical data, diagnoses, and prognosis.
• Educate colleagues with information appropriate for the audience.
• Maintain high turnaround times in a fast-paced, team-based environment.

Skills

Medical knowledge

Team collaboration

Communication skills

Clinical judgment

Education

Professional Degree (MD, DO, PhD, PsyD)

Job description

## Medical ConsultantApply: Home Worker - US: Portland, Maine, USA: Full time: Posted Today: 835912When 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:We’re expanding our team of experienced physicians specializing in Internal Medicine, Family Practice, Occupational Medicine, and Physical Medicine & Rehabilitation to join us as expert Medical Consultants. This is a unique opportunity to leverage your clinical expertise in a full‐time role—without direct patient care. As a Medical Consultant, you’ll apply your medical training to review and evaluate clinical documentation for disability claims in a collaborative, team‐oriented environment. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to accepted norms of medical practices and Code of Conduct guidelines. Physicians and psychologists conduct their reviews and analyses within appropriate ethical standards and maintain their professional licenses and Board certifications. This role is expected to provide excellent customer service and to interact on a regular basis with business partners, health care providers, and other specialized resources.**Principal Duties and Responsibilities*** Provide timely, clear medical direction and opinions to team partners, with reasoned forensic analysis to support the medical opinions* Partner/consult with fellow medical consultants when appropriate to ensure the completion of a whole person analysis* Apply medical knowledge to determine functional capacity through assessment of medical and other data related to impairment, regarding accuracy of diagnoses, treatment plans, duration guidelines, and prognosis* Provide relevant medical education and knowledge to others in terms appropriate and understandable to the intended audience* Perform telephone contacts with the insured’s healthcare providers to gather medical information and to facilitate a better understanding of the claimant's functional abilities* Make timely and appropriate referrals for second opinion reviews when appropriate or required according to current guidelines and best practices* Demonstrate ability to manage and complete high volumes of assigned work, maintain consistently good turnaround times, and operate with a sense of urgency* Focus not only on individual workload, but on the team/group work volumes to ensure organizational success* Receive feedback and follow through with appropriate behaviors/actions* Perform other duties as assigned**Job Specifications*** Professional Degree (MD, DO, PhD, PsyD)* Active, unrestricted US medical license* Board certification required for physicians in their area of specialty (Physical Medicine & Rehabilitation (PM&R), Internal Medicine, Occupational Medicine or Family Practice)* Minimum of five years of clinical experience in medical specialty* Strong team and collaborative skills. Ability to work in a fast paced, team based, corporate environment* Ability to mentor others and to give and receive constructive, behaviorally based feedback with peers and partners