Nurse Consultant

Travelers

(Buffalo, New York)
Full Time
Job Posting Details
About Travelers
In an uncertain world, Travelers is an insurance leader, committed to keeping pace with the ever-changing needs of our customers, and anticipating their needs for the future. There is no stronger testament to our dedication to protecting customers from loss than our continued innovation and ability to transform our industry.
Summary
Serve as technical resource to provide proactive medical expertise for claim staff.
Responsibilities
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.
Ideal Candidate
Registered Nurse or equivalent as well as appropriate license per state regulation. Certified Legal Nurse Consultant desirable. In order to perform the essential job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, License(s) are required to be obtained within three months of starting the job.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. Very strong oral and written communication skills. Interpersonal skills.Good computer skills to include Microsoft Word, Excel and Outlook.

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