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| Employer Name: InsurCrossing |
SpiderID: 2295232 |
| Location: Westbrook, Maine |
Date Posted: 6/18/2008 |
| Wage: |
Category: Insurance |
| Job Code: |
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Job Description:
Completes written and verbal consultations with all levels of the claims staff that will clearly outline the answers on functional parameters as well as the length and severity of the medical condition(s) Holds walk in consultation meetings with claims staff regarding disability claims, capturing essential elements of a file Ensures quality investigations of medical information utilizing the resources available Reviews and evaluates Independent Medical Examination (IME) reports Assists with the development of return to work plans Maintains knowledge and skills regarding medical advances and communicates/educates claims staff in one on one meetings Continues to research rare/unusual medical conditions and be knowledgeable on the tools necessary to perform this research Communicates verbally and in writing with providers, subscribers and other appropriate contacts in a professional and effective manner, resolving discrepancies and clarifying medical information, including diagnosis, treatment, prognosis, restrictions, limitations, and duration of conditions Maintains MD license Qualifications: Current and valid physician license in the State of Maine 3-5 years of clinical experience required Strong knowledge of medical treatment protocols Experience in utilization review/health care industry insurance preferred Strong research, analytical, critical thinking, problem solving skills and decision-making skills Ability and desire to work in a fast-paced, service-oriented environment Excellent verbal communication skills, with the ability to be both pleasant and professional Strong written communication skills.
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Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required:
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: - |
Company Type: Employer |
| Company: InsurCrossing |
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| City: Pasadena |
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| State: California |
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| Zip: |
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Web Site: http://www.insurcrossing.com
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