Senior Clinical Consultant (Remote)

The Senior Clinical Consultant will work in partnership with Clinical and Vocational Leaders to provide ongoing coaching and oversight to Clinical Consultants and will serve as clinical subject matter expert in all lines of business (STD/LTD/Appeals) and products, action planning management, and Guardian systems.  This incumbent will have a strong clinical and client focus to assist in ensuring the fair and accurate assessments of medically supported functional abilities. They will assist in cultivating talent and foster an environment of continuous learning.  They will promote organizational excellence by demonstrating leadership, problem-solving behaviors, and viewing challenges as opportunities.  This individual will work with the Clinical Team Manager to drive performance and ensure the team meets their goals.  They will effectively communicate & explain departmental initiatives and changes as they relate to organizational goals & strategies.   They will assist the Clinical Team Manager in managing and resolving issues that come up related to clinical processes, claim management activities, customer inquiries, and quality. 

You are: 

A highly motivated and reliable individual who can work with varying levels of supervision – independently or collaboratively. You are detail-oriented and a decisive decision maker who can manage multiple priorities at the same time with a positive attitude.  

You have:  

• A minimum of 5 years of (STD, LTD, Appeals) claim experience, minimum of 2 years disability experience 

• A minimum of 5 years in direct patient care settings 

• BSN and CCM preferred   

• Excellent verbal and written communication skills and presentation skills   

• Ability to exercise independent & sound 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 coach 

• Proficiency in MS Wo