Review, analyze, and interpret medical information available for disability claims
Act as a clinical resource for Group Protection benefit specialists and claim professionals
Evaluate medical information to clarify diagnoses and assess severity of medical conditions
Validate medical restrictions and limitations and estimate duration of recovery
Clarify, interpret and/or evaluate medical information to assess appropriateness of current and ongoing restrictions/limitations and level of impairment
Identify pertinent clinical facts and answer questions in collaboration with benefits specialists and physician consultants
Recommend specific medical information needed to evaluate ongoing level of impairment and to facilitate optimal claim management
Make appropriate referrals to internal and external clinical resources (IME, FCE, Peer Reviews)
Discuss complex medical issues with health care providers and document outcomes of discussion
Coordinate and partner with Vocational Rehabilitation Coordinators to support return-to-work services
Effectively manage assigned caseload within department productivity goals
Contact claimants, employers, and health care providers as indicated
Provide coaching and guidance to claims regarding medical management
Requirements
4 Year/Bachelor’s Degree in Nursing
Registered Nurse License - Current, unrestricted license in the state where the position is located.
Minimum of 3-5 years of nursing experience with preferred clinical nursing expertise in Emergency Room, Critical Care, Orthopedics, Coronary Care, or trauma.
Experience reviewing, analyzing, and interpreting medical information for disability claims
Previous insurance industry experience preferred
Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred
Ability to contact claimants, employers, and health care providers as indicated
Benefits
Clearly defined career tracks and job levels, along with associated behaviors for each of Lincoln's core values and leadership attributes
Leadership development and virtual training opportunities
PTO/parental leave
Competitive 401K and employee benefits
Free financial counseling, health coaching and employee assistance program
Tuition assistance program
Work arrangements that work for you
Effective productivity/technology tools and training
Annual Incentive Program (discretionary)
Long-term incentives and sales incentives
Lincoln’s standard benefits package
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
nursingmedical information analysisdisability claims evaluationclinical resource managementmedical restrictions validationimpairment assessmentmedical management coachingutilization reviewnurse case managementtrauma care
Soft skills
communicationcollaborationcoachingorganizationproblem-solvingtime managementinterpersonal skillscritical thinkingadaptabilitydecision making
Certifications
Registered Nurse LicenseBachelor’s Degree in Nursing