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Registered Nurse, Long Term Disability
Prudential Securities
Roseland, NJ, United States
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Description
The RN Consultant's duties include professional medical evaluation of illness and injury claims for return to work potential,assessment and/or identification of limitations, restrictions, and capacity based on physiological, psychological and social factors, to assist claim management staff in their claim handling activities.
Responsibilities include:
• Applies clinical training and knowledge to form an assessment of mental capacity for disability cases with a focus on effectively influencing recovery and return to work efforts
• Provides case analysis, documenting rationale for opinions and recommended next steps
• Provides claim management staff with medical insight and education to assist them in determining appropriate next claim management steps and/or potential for vocational rehabilitation services
• Work with claims partners to determine when phone contact with claimants and/or their care providers is needed for information gathering or clarification of information
• Distill facts and answer questions in collaboration with fellow claims professionals
• Supports Disability Claims Managers in appropriate claim direction to identify and facilitate next and pursuant steps for each individual claim file
• Make Attending Physician contact as necessary
• Primary method of contact is via telephone or written communication
• Capable of discussing complex medical issues and documenting outcomes of discussion
• Meets set standards for quality and volume of work performed
• Annually sets goals with management related to personal and professional growth; subject to ongoing reassessment
• Participates in projects and committees pursuant to developmental goals and business needs
This position can be based in any of our Group Insurance offices: Roseland, NJ, Dresher, PA, Scottsdale, AZ or Portland, ME. This position can be virtual for candidates with prior Long Term Disability experience.
Qualifications
• Registered Nurse
• 3-5 years clinical experience
• Prior experience in Long Term Disability preferred