General Information

- Location: Noida, Uttar Pradesh
- Working Schedule: Full time
- Work Arrangement: Hybrid
- Relocation Assistance Available: Yes

Job Responsibilities

- Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation, and assessment for various claims-related departments, while managing assigned caseload of complex cases applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues.
- Conducts complex research, review and analysis of medical records, treatment plans and claim information.
- Provides recommendations regarding claimants current potential functional abilities and develops goal-focused return-to-work plans.
- Assess training needs and creates, authors, and presents medical training to claim and business partner associates.
- Engages claimants, healthcare providers, employers, and customers to ensure strict adherence in determining functional abilities.
- Engages claimants, health care providers and employers in return to work potential and planning while coaching claim specialists on identifying and acting upon return-to-work potential.
- Creates effective requests for medical information which focus on clarifying medical restrictions and limitations and their impact on work functionality. Performs other related duties as assigned or required.

Education

- Bachelor s degree (Medical) or diploma with a minimum of 15 years of education
- Master s degree in clinical psychology or social work. If Registered Nurse will accept associate degree or higher with current RN state license
- Anyone from below




- Nursing + MS (Master of Science) in Psychology
- Nursing + MS (Master of Science) in Psychiatry
- Nursing + BA (Bachelor of Arts) in Psychology
- MA (Master of Arts) in Psychology + PhD (Doctor of Philosophy) in Psychology
- MPhil in Clinical Psychology
- Licensed Clinical Psychologist-licensed in behavioral unit
- Options -Licensure, social work, professional counselling
- MS (Master of Science) in Psychology with 2 years of clinical experience
- MS (Master of Science) in Psychiatry with 2 years of clinical experience
- MA (Master of Arts) in Psychology with 2 years of clinical experience
- MPhil in Clinical Psychology with 2 years of clinical experience
- MBBS + Diploma/Degree in Psychiatry +2 years of Clinical experience

Experience

In Years

Required

- Current RN licensure
- 2 + y years of experience as an RN with Clinical/Ops Experience (Specially in Physiatry/Psychology)

Preferred

- 2+ years Disability claims and/or clinical experience
- Licensure in Clinical Psychology or Social Work 2 years of experience in inpatient or intensive outpatient or outpatient therapy in a clinical setting
- Value added- Nursing background with behavior health (including MHU +BHU)
- Disability claims experience
- Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist).

Technical Skills

- Computer navigation skills
- Excellent Keyboarding and data entry speed

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

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