Senior Disability Benefits Medical Consultant

Northwestern Mutual; Wisconsin; Hybride; USD 89 000 - 134 000; Plein temps

Résumé du poste

Northwestern Mutual is seeking a Medical Consultant to provide technical medical expertise within the Benefits Division in Wisconsin. The role involves reviewing disability claims, evaluating provider records and treatments, and delivering clear assessments and recommendations to medical directors and analysts.

The position includes coordinating referrals with physicians, educating new analysts, and leading cross‑department projects to enhance claim protocols.

Qualifications

• Bachelor's degree in Nursing with professional nursing experience.
• Experience as physician assistant or nurse practitioner with related degree.
• Strong decision-making and ability to work independently.

Responsabilités

• Provide medical expertise and reviews of claims, evaluating records and treatments.
• Consult with analysts, medical directors and outside physicians; communicate assessments and recommendations.
• Coordinate referrals with medical directors and external consultants; lead or participate in projects to improve protocols.

Connaissances

Medical Acumen

Medical Case Consultation

Decision Making

Claims Acumen

Dispute Resolution

Coaching & Mentoring

Adaptive Communication

Formation

Bachelor's degree in Nursing

Bachelor/Master's degree (PA/NP)

Description du poste

Northwestern Mutual is seeking a Medical Consultant to provide technical medical expertise within the Benefits Division in Wisconsin. The role involves reviewing disability claims, evaluating provider records and treatments, and delivering clear assessments and recommendations to medical directors and analysts.

The position includes coordinating referrals with physicians, educating new analysts, and leading cross‑department projects to enhance claim protocols.