Remote Medical Consultant: Expert Claims Analytics

Unum Ireland; Chattanooga (TN); Hybrid; USD 134,000 - 274,000; Full time

Benefits offered by this job

Health benefits

PTO including volunteering

401(k) match

Job summary

Unum seeks a Medical Consultant to provide expert medical analysis of claims files across US product lines from a home-based role in Chattanooga, Tennessee. The incumbent delivers timely, professional medical consultative services to the Benefits Center, adhering to regulatory and process standards.

Requires MD/DO/PhD/PsyD, active US medical license, and board certification in PM&R/IM/Occupational Medicine or Family Practice, plus at least five years of clinical experience.

Qualifications

• Professional Degree (MD, DO, PhD, PsyD).
• Active, unrestricted US medical license.
• Board certification required for physicians in 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 mentor others and give/receive feedback.

Responsibilities

• Provide timely, clear medical direction and opinions to team partners with reasoned forensic analysis.
• Consult with fellow medical consultants to ensure complete, whole-person analysis.
• Apply medical knowledge to determine functional capacity through assessment of impairment, diagnoses, treatment plans, and prognosis.
• Provide relevant medical education and knowledge to others in accessible terms.
• Perform telephone contacts with insureds' healthcare providers to gather information and clarify functional abilities.
• Make timely referrals for second opinion reviews as appropriate per guidelines.
• Demonstrate ability to manage high volumes of work with good turnaround times and urgency.
• Collaborate with the team to support organizational success and share feedback.

Skills

Medical license

Board certification

Team collaboration

Mentorship

Clinical judgment

Education

MD/DO/PhD/PsyD

Job description

Unum seeks a Medical Consultant to provide expert medical analysis of claims files across US product lines from a home-based role in Chattanooga, Tennessee. The incumbent delivers timely, professional medical consultative services to the Benefits Center, adhering to regulatory and process standards.

Requires MD/DO/PhD/PsyD, active US medical license, and board certification in PM&R/IM/Occupational Medicine or Family Practice, plus at least five years of clinical experience.