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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in reviewing complex illness and injury claims, utilizing strong clinical assessment skills and effective communication to collaborate with multidisciplinary teams. Proficient in case management and familiar with Long-Term Disability products, ensuring optimal claim management strategies.
Highest-signal resume keywords
RN LicenseCase Management ExperienceLong-Term Disability Products ExperienceStrong Interpersonal SkillsComputer Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical AssessmentDocumentation SkillsAcute Care ExperienceUtilization of Clinical ResourcesOrganizational Effectiveness
Soft Skills
Effective CommunicationTeam CollaborationIndependent Work
Tools & Technologies
MS OfficeExcel Spreadsheets
Certifications & Qualifications
RN LicensePT LicenseOT License
Industry Keywords
Disability ClaimsVocational RehabilitationInsurance Industry Experience
About the role
Key responsibilities & impact- Review and assess primarily complex illness and injury claims
- Identify restrictions and limitations based on physiological, psychological, and social factors to assist claim management staff
- Assist in strategy and identify appropriate utilization of additional clinical, vocational, or other resources
- Document clinical assessments using effective written and verbal communication
- Contact Treating Providers
- Engage in discussions with Disability Claim Team Members, Clinical Peers, and Vocational Rehabilitation Counselor Resources
- Work independently with minimal direct supervision
- Support Long-Term Disability Claims Teams as a member of the Expert Resource Team
- Collaborate with claims teams, physicians, return to work coordinators, and vocational departments to resolve the best course for claim management
Requirements
What you’ll need- RN/PT/OT license - must be current
- 3+ years of acute care experience
- Experience in case management
- Strong interpersonal and communication skills (written and verbal)
- High level of organizational effectiveness
- Ability to interface with multiple disciplines
- Computer proficiency and technical aptitude
- Ability to utilize MS office including Excel Spreadsheets
- Ability to work independently and within a team environment
- Prior insurance industry experience (a plus)
- Experience with Long-Term Disability (LTD) products (a plus)
Benefits
Comp & perks- Market competitive base salaries, with a yearly bonus potential at every level
- Medical, dental, vision, life insurance, disability insurance
- Paid Time Off (PTO)
- Leave of absences, such as parental and military leave
- 401(k) plan with company match (up to 4%)
- Company-funded pension plan
- Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs
- Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development
- Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs
- Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period)
- Eligibility to participate in a discretionary annual incentive program