Consultant, Nurse Disability I

The Role at a Glance

We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for reviewing, analyzing, and interpreting medical information available for disability claims.

In this role you will act as a clinical resource for Group Protection benefit specialists and claim professionals. You will evaluate medical information to clarify diagnoses, evaluating the severity of medical conditions, validating medical restrictions and limitations, and estimating duration of recovery. In this role you will provide coaching and guidance to claims regarding medical management.

What you'll be doing

•    Evaluate medical information to clarify diagnoses, evaluating the severity of medical conditions, validating medical restrictions and limitations, and estimating duration of recovery
•    Clarify, interpret and/or evaluate medical information to assess appropriateness of current and ongoing restrictions / limitations and level of impairment
•    Identify pertinent clinical facts and answers questions in collaboration with benefits specialists and physician consultants.
•    Act as a clinical resource to Group Protection claim professionals during claim meetings and as needed
•    Recommend specific medical information needed to evaluate ongoing level of impairment and to facilitate optimal claim management
•    Make appropriate referrals to internal and external clinical resources (i.e. IME, FCE, Peer Reviews)
•    Discuss complex medical issues with health care providers as needed and documents outcomes of discussion
•    Coordinate and partner with Vocational Rehabilitation Coordinators (VRC) and others to support with return-to-work services
•    Effectively manages assigned caseload within department productivity goals
•    Contacts claimants, employers, and health care providers, as indicated

What we’re looking for

Education

•    4 Year/Bachelor’s Degree in Nursing
•    Registered Nurse License – Current, unrestricted license in the state where the position is located. 
•    Minimum of 3-5 years of nursing experience with preferred clinical nursing expertise in Emergency Room, Critical Care, Orthopedics, Coronary Care, or trauma.

Experience

•    Previous insurance industry experience preferred
•    Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills

Application Deadline

Applications will be accepted through Friday, April 17th, 2026, and posting may be taken down early due to applicant volume.