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 First Party Nurse Consultant

Details
Country: USA
Location: Pennsylvania-Reading Wyomissing-Reading, PA
Total applied: 23
First Party Nurse Consultant

First Party Nurse ConsultantCommitted.  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. We are currently looking for a First Party Nurse Consultant.  Please read on for more details regarding this position. JOB DESCRIPTION: First Party Nurse ConsultantLocation: Wyomissing, PA 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 In addition to an exciting environment, we offer: * Competitive base salary with additional opportunities for variable pay through recognition programs and incentive awards * 401(k) with company match* Comprehensive health plans that include coverage for same sex/domestic partners* Strong work/family and employee assistance programs* Tuition reimbursement * Vacation Purchase Plan* Training/Development opportunities We are proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including a very competitive financial package. Explore what we have to offer.  For immediate consideration for this position, please click on the "Apply Now" button at the bottom of this posting.  Travelers is an equal opportunity employer. We actively promote a drug-free workplace.   Company: Travelers Companies, Inc.

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