Senior Disability Benefits Medical Consultant

Northwestern Mutual Group; Franklin (TN); On-site; USD 89,000 - 134,000; Full time

Benefits offered by this job

Flexible work schedules

Concierge service

Comprehensive benefits

Employee resource groups

Job summary

Northwestern Mutual in the United States seeks a senior medical consultant to provide expert review of disability claims, coordinate referrals, and communicate medical assessments to directors and analysts. The role emphasizes teaching, leadership, and collaboration across departments to ensure rigorous claim handling and dispute resolution.

Candidates should have extensive nursing or PA/NP credentials, and proven ability to lead teams, train staff, and engage with lawyers as needed.

Qualifications

• Bachelor’s degree in nursing or higher is required.
• Physician Assistant or NP with bachelor’s/master’s degree preferred.
• Strong decision-making and independent work capability.
• Experience with complex claims assessment and medical consultations.
• Ability to lead and mentor others and work in cross-functional teams.
• Excellent written and verbal communication skills.

Responsibilities

• Provide medical expertise to Benefit Claims analysts reviewing claims with records and tests.
• Communicate assessment rationale with medical directors and analysts.
• Coordinate claim referrals with medical directors and outside physicians.
• Deliver medical education and training to new analysts.
• Lead or participate in cross-departmental projects and committees.
• Train new DI Benefit Medical Consultants when needed and perform peer audits.
• Collaborate with law department to resolve disputes when required.

Skills

Medical acumen

Medical case consultation

Decision making

Claims acumen

Dispute resolution

Coaching & mentoring

Adaptive communication

Education

Bachelor’s degree in nursing

Bachelor’s/Master’s degree for physician assistant or nurse practitioner

Job description

Northwestern Mutual in the United States seeks a senior medical consultant to provide expert review of disability claims, coordinate referrals, and communicate medical assessments to directors and analysts. The role emphasizes teaching, leadership, and collaboration across departments to ensure rigorous claim handling and dispute resolution.

Candidates should have extensive nursing or PA/NP credentials, and proven ability to lead teams, train staff, and engage with lawyers as needed.