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Medical Specialist

2 months ago

Bethlehem, Pennsylvania, United States Guardian Life Insurance Company Full time
Job Summary

Guardian Life Insurance Company is seeking a highly skilled Medical Specialist to join our team. As a Medical Specialist, you will play a critical role in supporting the claims process by leveraging your medical knowledge and expertise to obtain necessary medical information and facilitate timely claim decisions.

Key Responsibilities
  • Obtain medical information from claimants and treating providers to support claims decisions
  • Collaborate with claims case managers and claimants to facilitate timely physician outreaches and collection of medical information
  • Document clear and concise details regarding certification dates, treatment plans, and other pertinent claim information
  • Assist with vendor management, including scheduling and follow-up for vendor reports
  • Provide excellent written and verbal communication skills to ensure effective collaboration with internal and external stakeholders
Requirements
  • LPN/LVN from an accredited school of nursing with a valid license in good standing
  • Minimum 2 years of clinical experience or equivalent medical office experience
  • Excellent written and verbal communication skills
  • Ability to exercise independent and sound judgment in decision-making
  • Vendor management experience
  • Basic computer skills and knowledge, including Microsoft Office
What We Offer
  • A competitive salary range of $48,000 - $72,280.00
  • A comprehensive benefits package, including health, dental, and vision insurance
  • A 401(k) retirement plan with a company match
  • Flexible work arrangements, including remote work options
  • Opportunities for professional growth and development