Symetra

Disability Nurse Consultant - Remote

Posted on

April 10, 2025

Job Type

Full-Time

Role Type

Clinical Operations

License

RN

State License

Washington

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Company Description

At Symetra, we aspire to be the most inclusive insurance company in the country. We’re building a place where every employee feels valued, respected, and has opportunities to contribute. Inclusion is about recognizing our assumptions, considering multiple perspective, and removing barriers. We accept and celebrate diverse experiences, identities, and perspectives, because lifting each other up fuels thought and builds a stronger, more innovative company.

Job Description

As a Disability Nurse Consultant, you’ll provide clinical support throughout claim administration for Absence Management, Life and Disability products. You will review medical records and other documentation for evidence supporting claimed diagnoses as well as resulting restrictions and limitations. You will also participate in educating the claim staff on assorted anatomy, physiology, treatment, diagnostic, and pathology topics relevant to claim management and industry trends.

Requirements

High School Diploma required. Degree in nursing from an accredited college or university required. Active RN license(s) required Two years or full-time equivalent of direct clinical care required in an acute care setting required Previous clinical experience in disability/absence management, occupational health, psychiatric nursing in a disability management setting preferred Certification in case management, rehabilitation nursing or a related specialty preferred Excellent customer service and collaboration skills Capable of balancing priorities and deadlines with minimal supervision Clear, detailed, and concise communication both verbally and written Able to work as part of a team Excellent at multi-tasking Proficient in Microsoft Office suite of products Comfortable working in a fast-paced deadline driven environment

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Responsibilities

Perform clinical review of medical records and other documentation to determine diagnoses and resulting restrictions or limitations. Provide comments on anticipated duration Proactively contact healthcare providers to acquire additional information and insight into the specifics of a condition(s) under review and for consideration in clinical opinion to aid in claim management Perform clinical claim administration tasks within departmental metrics for productivity relating to turn around time, documentation, qualitative, quantitative, and customer service in support of LAD lines of business Communicate effectively with internal and external partners, collaborate in a team environment, demonstrate core values and clinical expertise Seek out additional training and project work outside of immediate claim reviews to improve knowledge and business processes

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