Senior Clinical Consultant

Role Overview

• Apply clinical expertise to assess and analyze claim file information, delivering objective, evidence-based recommendations.
• Communicate complex medical issues clearly and concisely, both verbally and in writing, within a fast-paced, multidisciplinary team environment.
• Collaborate with internal partners to identify and obtain pertinent medical documentation necessary for accurate functional assessments.
• Partner with healthcare providers and claimants to clarify diagnoses, treatment plans, anticipated outcomes, and return-to-work expectations.
• Provide coaching and consultation to non-clinical staff to enhance medical understanding and support appropriate claim management.
• Operate with a sense of urgency and adaptability to meet evolving business needs.
• Demonstrate strong time management by effectively prioritizing tasks, completing reviews promptly, and ensuring timely follow-up on all case activities.
• Maintain required professional certifications, stay current with medical trends, and complete ongoing educational requirements.

Requirements

• Associate Degree in Nursing and active RN license required; bachelor’s degree strongly preferred.
• 3+ years of clinical experience preferred.
• Previous Disability medical case management experience preferred.
• Excellent interpersonal, communication, and organizational skills.
• Strong analytical and critical thinking abilities.
• Proficiency with digital tools and comfort navigating multiple platforms.

Benefits

• Health, dental, vision and life insurance plans
• 401(k) Savings plan – with generous company matching contributions (up to 6%)
• Voya Retirement Plan – employer paid cash balance retirement plan (4%)
• Tuition reimbursement up to $5,250/year
• Paid time off – including 20 days paid time off, nine paid company holidays and a flexible Diversity Celebration Day.
• Paid volunteer time — 40 hours per calendar year