Senior Medical Claims Consultant

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

Benefits offered by this job

Award-winning culture

Inclusion and diversity as a priority

Performance Based Incentive Plans

Health

Vision

Dental

Short & Long-Term Disability

PTO including paid time to volunteer

Up to 9.5% 401(k) employer contrib.

Mental health support

Career advancement opportunities

Student loan repayment options

Tuition reimbursement

Flexible work environments

Job summary

Unum is seeking a Medical Consultant to provide expert medical analysis of claims files and underwriting applications across US product lines. The role emphasizes high-quality, timely consultative services in line with regulatory and internal standards.

The incumbent will work with health care providers and business partners to deliver accurate medical opinions while maintaining professional licenses and certifications.

Qualifications

• Professional Degree (MD, DO, PhD, PsyD)
• Active, unrestricted US medical license
• Board certification required for physicians in their area of specialty (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

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 insureds 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

Skills

Team collaboration

Mentoring others

Time management

Communication

Education

MD/DO/PHD/PsyD

Active US medical license

Board certification (PM&R/IM/Occupational/Family)

Job description

Unum is seeking a Medical Consultant to provide expert medical analysis of claims files and underwriting applications across US product lines. The role emphasizes high-quality, timely consultative services in line with regulatory and internal standards.

The incumbent will work with health care providers and business partners to deliver accurate medical opinions while maintaining professional licenses and certifications.