Nurse Consultant - Auto - Wyomissing, PA

VetJobs; Wyomissing (Berks County); On-site; USD 79,000 - 131,000; Full time

Job summary

VetJobs is seeking a Nurse Consultant for the Auto division in Wyomissing, PA. This entry-level position involves supporting medical resolutions for claims, requiring a Registered Nurse license and strong analytical skills. Ideal candidates will have excellent communication abilities and a foundational understanding of medical causation.

Qualifications

• Registered Nurse; Licensed Practical Nurse or Licensed Vocational Nurse required.
• Strong knowledge of medical causation and relatedness required.
• Effective time management and organizational skills preferred.

Responsibilities

• Support claim professionals to develop medical resolution strategies.
• Evaluate medical treatment for reasonableness and necessity.
• Provide documentation and maintain productivity records.

Skills

Medical Causation

Analytical Thinking

Communication

Interpersonal Skills

Research Skills

Education

Associates Degree

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Nurse Consultant - Auto - Wyomissing, PA

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Nurse Consultant - Auto - Wyomissing, PA

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Job Description

Job Description

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.

Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

Job Category

Claim, Nurse - Medical Case Manager

Compensation Overview

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

Salary Range

$79,400.00 - $130,900.00

What Is the Opportunity?

Under moderate supervision, supports the claim professional to develop the medical resolution strategy and serves as a technical resource to provide proactive medical expertise for claim staff.

What Will You Do?

Interpret routine, complex or unique medical information.

Evaluate medical treatment to determine whether it was/is reasonable, necessary and causally related.

Discuss medical information with claim handler to assist in developing claim medical resolution strategy.

Assist claim handler in projecting medical costs of claims.

Provide medical expertise by attending roundtables. GL may include mediations, arbitrations, pre-trial conferences, depositions and trials with claim staff.

Provide medical expertise to defense counsel.

Research medical information to support the claim review process.

Identify medical trends for use in developing and recommending training programs.

Respond to claim requests for training as needed.

Provide objective, concise documentation of medical review in approved report format or in claim notes.

Maintain accurate productivity records.

In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.

Perform other duties as assigned.

Auto req ID

448274BR

Minimum Education Required

Associates

Job_Category

Healthcare-Nurses/Medical Assistants

Additional Qualifications/Responsibilities

What Will Our Ideal Candidate Have?

Strong knowledge of medical causation and relatedness required/Intermediate Level.

Knowledge of jurisdiction-specific medical guidelines preferred.

Prior Clinical Experience Preferred.

Strong research and analytical thinking skills preferred.

Effective Time Management And Organizational Skills Preferred.

Very strong oral and written communication skills preferred.

Strong Interpersonal Skills Preferred.

Good computer skills to include Microsoft Word, Excel and Outlook preferred.

Preferred

Analytical Thinking - Basic Preferred

Judgment/Decision-making - Basic Preferred

Communication - Intermediate Preferred

Negotiation - Basic Preferred

Principles of Investigation -Basic Preferred

Value Determination - Basic Preferred

Legal Knowledge - Basic Preferred

Medical Knowledge -- Intermediate Preferred

What is a Must Have?

Registered Nurse; Licensed Practical Nurse or Licensed Vocational Nurse required.

City*

Wyomissing

State*

Pennsylvania

Job Code

Ins Insurance

Affiliate Sponsor

Travelers Insurance

Salary Range

$75,000-$100,000

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

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