Nurse Consultant - Auto - Wyomissing, PA
Nurse Consultant - Auto - Wyomissing, PA
Posted on :
08-06-2025
Employer Active
1 Vacancy
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Monthly Salary
$ 79400 - 130900
Vacancy
1 Vacancy
Posted on :
08-06-2025
Job Description
ATTENTION MILITARY AFFILIATED JOB SEEKERS- Our organization works with partner companies to source qualified talent for their open roles. The following position is available toVeterans Transitioning Military National Guard and Reserve Members Military Spouses Wounded Warriors and their Caregivers. If you have the required skill set education requirements and experience please click the submit button and follow the next steps.
Taking care of our customers our communities and each other. Thats the Travelers Promise. By honoring this commitment we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim Nurse - Medical Case Manager
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program employees are also eligible for performance-based cash incentive awards.
Salary Range
$79400.00 - $130900.00
What Is the Opportunity
Under moderate supervision supports the claim professional to develop the medical resolution strategy and serves as a technical resource to provide proactive medical expertise for claim staff.
What Will You Do
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 medical resolution strategy.
Assist claim handler in projecting medical costs of claims.
Provide medical expertise by attending roundtables. GL may include mediations arbitrations pre-trial conferences depositions and trials with claim staff.
Provide medical expertise to defense counsel.
Research medical information to support the claim review process.
Identify medical trends for use in developing and recommending training programs.
Respond to claim requests for training as needed.
Provide objective concise documentation of medical review in approved report format or in claim notes.
Maintain accurate productivity records.
In order to perform the essential functions of this job acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated.
Perform other duties as assigned.
Additional Qualifications/Responsibilities
What Will Our Ideal Candidate Have
Strong knowledge of medical causation and relatedness required/Intermediate Level.
Knowledge of jurisdiction-specific medical guidelines preferred.
Prior clinical experience preferred.
Strong research and analytical thinking skills preferred.
Effective time management and organizational skills preferred.
Very strong oral and written communication skills preferred.
Strong interpersonal skills preferred.
Good computer skills to include Microsoft Word Excel and Outlook preferred.
Preferred
Analytical Thinking - Basic Preferred
Judgment/Decision-making - Basic Preferred
Communication - Intermediate Preferred
Negotiation - Basic Preferred
Principles of Investigation -Basic Preferred
Value Determination - Basic Preferred
Legal Knowledge - Basic Preferred
Medical Knowledge -- Intermediate Preferred
What is a Must Have
Registered Nurse; Licensed Practical Nurse or Licensed Vocational Nurse required.
Required Experience:
Contract
Employment Type
Full Time
Key Skills
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