Disability Nurse Consultant – Remote

Symetra has an exciting opportunity to join our team as a Disability Nurse Consultant ! About the role As a Disability Nurse Consultant, you’ll provide clinical support throughout claim administration for Absence Management, Life and Disability products. You will review medical records and other documentation for evidence supporting claimed diagnoses as well as resulting restrictions and limitations. You will also participate in educating the claim staff on assorted anatomy, physiology, treatment, diagnostic, and pathology topics relevant to claim management and industry trends. What you will do Perform clinical review of medical records and other documentation to determine diagnoses and resulting restrictions or limitations. Provide comments on anticipated duration Proactively contact healthcare providers to acquire additional information and insight into the specifics of a condition(s) under review and for consideration in clinical opinion to aid in claim management Perform clinical claim administration tasks within departmental metrics for productivity relating to turn around time, documentation, qualitative, quantitative, and customer service in support of LAD lines of business Communicate effectively with internal and external partners, collaborate in a team environment, demonstrate core values and clinical expertise Seek out additional training and project work outside of immediate claim reviews to improve knowledge and business processes Why work at Symetra Here’s what