Assistant Manager - Operations

• Provides professional medical, technical, consulting advice, and recommendations in support of claims

• Conducts complex research, review and analysis of medical records, treatment plans and claim information.

• Provides recommendations regarding claimants current potential functional abilities and develops

• Assess training needs and creates, authors, and presents medical training to claim and business partner

• Engages claimants, healthcare providers, employers, and customers to ensure strict adherence in determining

• Engages claimants, health care providers and employers in return to work potential and planning while

• Creates effective requests for medical information which focus on clarifying medical restrictions and

Education, Technical Skills & Other Critical Requirement

Education

Experience

Required

• Current RN licensure
• 4+ years of experience as an RN with Clinical/Ops Experience

Preferred

• 7+ years Disability claims and/or clinical experience.
• Disability claims experience
• Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist).

Technical Skills/other skills

• Computer navigation skills
• Excellent Keyboarding and data entry speed
• Knowledge about US Culture is preferred.
• Excellent verbal/written communication skills should be able to read, interpret business documents.
• Excellent analytical and interpersonal skills
• Data gathering ability/ Eye for detail.
• Ability to comprehend and apply varied rules to multiple policies.
• Teamwork/ Managing Self / Adaptability
• Ability to work successfully and perform detail-oriented work in production driven environment.
• Excellent organizational skills
• Proven ability to meet quality and time standards.
• Ability to work on routine/standardized transactions.
• Possess strong knowledge of medical conditions, symptoms, and terminology.