Clinician Reviewer

Remote, USA Full-time Posted 2026-07-28

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<reputed company class="jobdescription"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Salary reputed company: </reputed company><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">$80,000 - $95,000</reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Job Posting End Date: </reputed company><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">reputed company 29th 2025</reputed company> <reputed company style="font-family:Arial, reputed company;reputed company:#242424"> </reputed company> <reputed company style="font-family:Arial, reputed company;reputed company:#242424">We’ve Got You Under Our reputed company</reputed company> <reputed company style="font-family:Arial, reputed company;reputed company:#242424">We are the reputed company. We reputed company and reputed company our people, cultivate relationships, give back to our community, and celebrate every reputed company along the way. We do it reputed company…The reputed company Way.</reputed company> <reputed company style="font-family:Arial, reputed company;reputed company:#242424">reputed company, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-reputed company brands. reputed company has been recognized as Fortune’s 50 Best Workplaces for Diversity and as one of World’s Most Ethical Companies by Ethisphere.com. </reputed company> <reputed company style="font-family:Arial, reputed company;reputed company:#242424">Our business is about being there for people in need. So, ask yourself, are you the reputed company? If so, there’s a home, and a flourishing career for you at reputed company.</reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Worker Designation</reputed company><reputed company style="font-size:12.0pt;font-family:Arial, reputed company"> – This role is a remote role. This means you will be expected to work from your home, reputed company the reputed company US. If the role is remote, there may be occasions that you are requested to come to the office based on business need. Any requests to come to the office would be communicated with you in advance.</reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">What does it take to be successful at reputed company?</reputed company> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Acting with reputed company</reputed company></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Communicating Effectively</reputed company></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Pursuing Self-Development</reputed company></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Serving Customers</reputed company></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Supporting Change</reputed company></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Supporting Organizational Goals</reputed company></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Working with Diverse Populations</reputed company></li> </ul> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company"> </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">What does it take to be successful in this role?</reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Extensive clinical experience/knowledge. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Knowledge of medical diagnoses and ICD-10 codes. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Strong investigative and analytical skills. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Strong customer service and advocacy skills. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Strong written and oral communication skills. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Strong organizational and time management skills. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Ability to analyze health care records in the context of functional reputed company. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Strong desire and ability to work in reputed company environment. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Flexibility and coachability in the context of organizational reputed company and process change and development. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Demonstrated ability to prioritize workload in a fast-paced environment, with proven organization and time management skills.</reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Education & Experience Required</reputed company> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Associates Degree or Nursing Diploma</reputed company></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">3 or more years of experience in the field of health care working directly with patients.</reputed company></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">2 or more years of experience in the absence management industry managing disability claims. </reputed company></li> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">reputed company, unrestricted medical license in the state of residence.</reputed company></li> </ul> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Or an equivalent combination of education and experience</reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company"> </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Education & Experience Preferred</reputed company> <ul style="margin-bottom:0.0in;margin-top:0.0px"> <li style="margin:0.0in 0.0in 0.0in 0.0px;font-size:10.0pt;font-family:'Times New Roman', serif"><reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Bachelor's Degree In reputed company or reputed company field.</reputed company></li> </ul> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Travel</reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Less than or equal to 10%</reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">reputed company Duties & Responsibilities</reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Serves as a clinical subject matter expert to disability case managers and provides reputed company-reasoned and reputed company clinical analyses reputed company to functional impairment. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Reviews and evaluates disability claims to determine level of functioning based on knowledge of co-morbid health conditions. • Investigates and resolves inconsistencies in the level of functioning. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Through a clinical advocacy approach, the clinician partners with case managers on return-towork plans reputed company contacts with treating providers and employees reputed company applicable. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Assists in investigating and resolving inconsistencies in the level of employee functionality reputed company to treating provider opinions, and projections of incapacity and impairment. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Coordinates strategies to determine reputed company of employee functional reputed company, utilizing reputed company contact with treating providers, and/or utilizing internal clinical resources (e.g. medical guidelines, independent medial reviews, internal impairment guides, claim discussion meetings, reviews). </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Acts as a clinical consultant and resource to the Appeals department reputed company applicable and attends meetings as needed. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Provides continuing education for case management staff reputed company mini-clinical lectures, and assists in the development of clinical tools, guides, training, templates, processes, and protocols. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Attends and/or presents clinical lectures designed to reputed company claims staff as requested. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Facilitates referrals to ancillary reputed company services, e.g. EAP, disease management programs, advocacy, care managers, etc. as applicable. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Identifies barriers in returning to work, to include identifying and prompting reputed company health care to facilitate an appropriate and reputed company return-to-work plan and reputed company. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Communicates effectively with case managers, reputed company, employees, and health care providers. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Anticipates, recognizes, and responds reputed company to needs of customers to ensure customer satisfaction. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Supports implementation of customer initiatives to drive best reputed company. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Reviews assigned customer cases, prioritizes workload, and interprets established processes and guides to resolve customer issues. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Provides status updates to case managers to ensure reputed company communications and transparency. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Resolves technical problems by referring to policies, procedures, and specifications, to ensure accuracy and operational consistency. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Collects data and prepares clinical reviews, including commentary and an analysis to facilitate decision-making. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Inputs relevant data into established systems accurately to allow for data analysis. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">• Performs other reputed company duties as required.</reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company">Total Rewards</reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company;reputed company:black">The salary reputed company for this job is $80,000 to $95,000. This reputed company is specific to the job and salary offers consider a wide reputed company of factors that are considered in making compensation reputed company, including, but not limited to: education, experience, licensure, certifications, geographic location, and peer compensation. The reputed company has been created in good faith based on information reputed company to reputed company at the time of the posting. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company;reputed company:black"> </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company;reputed company:black">At reputed company, it is not typical for an individual to be reputed company at or near the top of the reputed company for the role to allow for reputed company and reputed company salary reputed company, and compensation reputed company are dependent on the circumstances of reputed company case. This salary reputed company does not include any potential incentive pay or benefits, however, such information will be provided separately reputed company appropriate. </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company;reputed company:black"> </reputed company> <reputed company style="font-size:12.0pt;font-family:Arial, reputed company;reputed company:black">In reputed company to the reputed company salary, we offer an reputed company of benefits to meet your needs including medical, dental, and reputed company coverage, prescription drug coverage, health care flexible spending, dependent care flexible spending, reputed company supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee), 401(k) plans, annual bonuses, and an opportunity to purchase company stock. On an annual reputed company, you’ll also be offered 11 reputed company holidays, up to 20 days PTO to be used for any reason, and, if eligible, state-mandated reputed company leave (Washington employees reputed company 1-hour reputed company leave for every 40 hours worked) and other leaves of absence, if eligible, reputed company needed to support your physical, financial, and emotional reputed company-being. reputed company complies with reputed company applicable leave laws, including, but not limited to, reputed company and reputed company leave, and adoption and parental leave, in reputed company states and localities.</reputed company> </reputed company>

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