Liability Nurse Specialist

2 weeks ago


WilkesBarre, Pennsylvania, United States Berkshire Hathaway GUARD Insurance Companies Full time
About the Role

Berkshire Hathaway GUARD Insurance Companies is seeking a skilled Liability Nurse to join our team. As a key member of our claims team, you will play a critical role in ensuring the accuracy and quality of our medical reviews.

The ideal candidate will have a strong background in orthopedic and neurological nursing, with excellent communication and analytical skills. You will be responsible for reviewing independent medical examination requests, documenting files, and communicating findings to defense counsel.

We offer a competitive compensation package, including a comprehensive benefits program, 401K retirement plan, and opportunities for career advancement.

Key Responsibilities

The successful candidate will be responsible for:

  • Reviewing independent medical examination requests from defense counsel on liability claims.
  • Documenting files with a synopsis of medical care rendered and current treatment status of the claimant.
  • Providing nursing expertise when reviewing voluminous medical records to ensure IMEs are appropriate as far as timing and assigned specialist.
  • Communicating findings back to defense counsel and referring them to IME vendors for scheduling if IME is approved.
  • Updating liability and auto claims with appropriate Medicare diagnoses for reporting purposes.

Requirements

To be successful in this role, you will need:

  • RN or LPN with ortho and neuro experience.
  • Excellent oral and written communication skills, including outstanding phone presence.
  • Experience in a fast-paced, multi-faceted environment.
  • The ability to set priorities and work both autonomously and as a team member.
  • Well-developed time-management and organization skills.
  • Excellent analytical skills.
  • Working knowledge of Microsoft Word, Excel, and Outlook.


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