Job Title:

Nurse Consultant, Auto

Job ID:

794788

Location: KS-Overland Park

Available Openings:

Committed. Competitive. Constructing our Future.

That’s Travelers. We are one of the leading insurance companies in the United States. Our superior financial strength and consistent record of strong operating returns mean security for our customers – and opportunities for our employees. You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.

SUMMARY:

Serve as technical resource to provide proactive medical expertise for claim staff.

PRIMARY DUTIES:

Interpret routine, complex or unique medical information.

Evaluate medical treatment to determine whether it was/is reasonable, necessary and causally related.

Discuss medical information with claim handler to assist in developing claim resolution strategy.

Identify medical trends for use in developing and recommending training programs. Respond to claim requests for training as needed.

Assist claim handler in projecting medical costs of claims.

Provide medical expertise by attending mediations, arbitrations, pre-trial conferences, depositions and trials with claim staff.

Document claim activity involvement in systems.

Maintain accurate productivity records.

Perform other duties as assigned.

EDUCATION/COURSE OF STUDY:

Registered Nurse or equivalent as well as appropriate license per state regulation. Certified Legal Nurse Consultant desirable.

WORK EXPERIENCE:

Strong clinical background.

Knowledge of jurisdiction-specific medical guidelines desirable.

Strong knowledge of medical causation and relatedness. Strong knowledge of medical treatment standards of care.

Strong research and analytical thinking skills.

Effective time management and organizational skills.

COMMUNICATION SKILLS:

Very strong oral and written communication skills.

Interpersonal skills.

COMPUTER SKILLS:

Good computer skills to include Microsoft Word, Excel and Outlook.

OTHER:

Medical/Nursing knowledge

File Quality

Business knowledge/technology

Customer service/communication

Relationship management

Adaptability and ability to work independently

Travelers is an equal opportunity employer. We actively promote a drug-free workplace.
Nearest Major Market: Olathe
Nearest Secondary Market: Kansas City
Job Segments: Claims, Consultant, Consulting, Contract, Customer Service, Customer Service Representative, Healthcare, Insurance, Law, Legal, Medical Research, Nursing, Relationship Manager, Research, Scheduler, Service, Technology

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