DI Medical Underwriting Consultant
The DI Underwriting Medical Consultant , reporting to the Manager, Underwriting Policy and Support in the Underwriting Policy area, is a key business partner for DI Underwriting. This position assists in maintaining the DI underwriting guidelines and is responsible for reviewing individual health risk characteristics for complicated applicants, assisting in making recommendations to underwriting. The role combines clinical judgment, analytics, and strong communication. The applicant should be a medical professional who can understand health conditions and personal characteristics, singly and in combination, and how they influence the probability of disability.
You will
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Assist with medical reviews of current underwriting cases
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Review older underwriting and claims files when needed to support ongoing IDI underwriting policy research projects
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Medical guideline authorship, drafting, updating and driving change across underwriting
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Review medical literature to remain up to date on current medical best practices
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Assist in keeping the underwriting guidelines current and relevant
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Collaborate cross functionally with underwriting leadership, claims, legal/compliance, data, etc.
You have
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Bachelor of Science in Nursing (BSN) degree required
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5+ years of clinical experience in high-acuity settings cardiac care, ER/ICU, or case management experience
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Strong ability to interpret common cardiac testing; including EKG's
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Solid proficiency with Microsoft 365 (Word, Excel, PowerPoint)
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Business mindset, familiarity with statistics, prior insurance or disability experience a plus
Skills and Competencies:
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Clinical Synthesis for IDI: Training and experience with many varied medical conditions is essential. This includes recognition of symptoms, knowledge of medications that are commonly used to treat various ailments, ability to understand and interpret medical records, and an understanding of treatments and durations of a wide range of diseases.
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Risk Decisioning: Clear understanding of risk management is central to this position. Morbidity risk is the driving force of profitability in this profit center. The person in this role must understand when to offer a policy to an applicant with a less-than-ideal medical history, when to modify the benefits of the policy prior to issue, and when to decline the policy altogether.
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Communication: This skill is vital, since the person in this position must answer medical questions from underwriters daily, and the answers must be clear and actionable.
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Operations Prioritization: The medical underwriting queue has turned around times that must be managed efficiently with additional job roles.
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Collaboration and Professionalism: Individual will be an effective partner to Underwriting, Claims, and Legal/Compliance.
LOCATION
This is a remote position.
Salary Range:
$73,280.00 - $120,395.00
The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.
Our Promise
At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
Inspire Well-Being
As part of Guardian's Purpose - to inspire well-being - we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at . Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.
Equal Employment Opportunity
Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
Accommodations
Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [email protected]. Please note: this resource is for accommodation requests only. For all other inquires related to your application and careers at Guardian, refer to the Guardian Careers site.
Visa Sponsorship
Guardian is not currently or in the foreseeable future sponsoring employment visas. In order to be a successful applicant. you must be legally authorized to work in the United States, without the need for employer sponsorship.
Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.
Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being - mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com .
Visa Sponsorship:
Guardian Life is not currently or in the foreseeable future sponsoring employment visas. In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship.
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