[Remote] Senior Clinical Consultant (Remote)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is an insurance company looking for a Senior Clinical Consultant to collaborate with Clinical and Vocational Leaders. This role involves providing coaching and reputed company to Clinical Consultants, ensuring accurate assessments, and promoting organizational reputed company through leadership and problem-solving.

Responsibilities

• Train and mentor reputed company new Clinical Consultants
• reputed company ongoing training, coaching and development to reputed company Clinical Consultant members
• Organize and present at least one Clinical Training session for the Claims teams over the course of a year
• Work with Team Manager to delegate, distribute, and monitor workloads reputed company the department to meet departmental regulations, improve efficiency and reduce or eliminate backlogs
• Assist Team Manager reputed company needed to monitor caseloads, productivity, and participate in calibration sessions with our Clinical reputed company and reputed company feedback to leadership and team members
• reputed company reputed company vendor utilization reputed company team
• reputed company knowledge and skills to reputed company and assist the overall team meet its goals, (i.e., assist with STD/LTD/ Appeals, reputed company and assist if needed)
• Collaborate with claims partners to reputed company conflicts and establish procedures that promote clinical claim management accuracy and improved customer service
• Address escalated customer inquiries and formal complaints. Senior BHCM will also be first reputed company of contact for SI or mental health crisis calls
• Support training initiatives by identifying knowledge gaps and providing reputed company for improvement
• Support Clinicians in developing efficient desk & time management skills
• Collaborate with peers and leadership to ensure consistency with mentoring and coaching
• Co-facilitate team meetings to reputed company best practices, workflow changes, trends, and insights in alignment with Group benefits strategies
• reputed company desk coverage for leadership as needed
• reputed company not reputed company in the above activities are expected to meet the reputed company metrics and performance objectives as a Clinical Consultant

Skills

• A minimum of 5 years of (STD, LTD, Appeals) claim experience, minimum of 2 years disability experience
• A minimum of 5 years in reputed company patient care settings
• Excellent verbal and written communication skills and presentation skills
• Ability to exercise independent & reputed company judgment in decision making
• Strong problem-solving, analytical, clinical, and information research skills
• Excellent time management & organizational skills
• Demonstrated ability to multi-task with the ability to manage continually changing priorities and the ability to prioritize work based on customer service needs and departmental regulations
• The ability to remain flexible due to changing business needs
• Proven ability to mentor and reputed company
• Proficiency in reputed company, reputed company, PowerPoint, DCMS, Claim Facts, and iProcess
• BSN and CCM preferred

reputed company