Healthcare Consultant

2 weeks ago


Montgomery, Alabama, United States Unum Insurance Company Full time
Position Overview:

The role of the Medical Consultant at Unum involves delivering expert medical evaluations of claims files or underwriting applications across various Unum US product lines.

The incumbent is tasked with providing high-quality, timely, and efficient medical consultative services to the Benefits Center.


Key Responsibilities:
  • Deliver clear medical guidance and opinions to team members, supported by thorough forensic analysis.
  • Collaborate with fellow medical consultants to ensure comprehensive assessments.
  • Utilize medical expertise to evaluate functional capacity based on medical data related to impairments, including diagnosis accuracy, treatment plans, and prognosis.
  • Provide relevant medical education to stakeholders in an understandable manner.
  • Conduct telephone communications with healthcare providers to collect medical information and enhance understanding of the claimant's functional capabilities.
  • Make timely referrals for second opinion reviews as needed, adhering to current guidelines and best practices.
  • Manage and complete high volumes of assigned tasks while maintaining good turnaround times and a sense of urgency.
  • Focus on both individual and team workloads to contribute to organizational success.
  • Receive and act on feedback appropriately.
  • Perform additional duties as assigned.

Qualifications:
  • Professional Degree (MD, DO, PhD, PsyD).
  • Active, unrestricted US medical license.
  • Board certification in the relevant specialty required for physicians.
  • A minimum of five years of clinical experience in the medical specialty.
  • Strong collaborative skills and the ability to thrive in a fast-paced, team-oriented corporate environment.
  • Capability to mentor peers and provide constructive feedback.

Company:
Unum

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