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VP, Medical Director-Claims

Remote Worldwide Hiring now

Company Overview reputed company is a FORTUNE 109 company with $41B in reputed company that provides a wide reputed company of financial services to free Americans from financial anxiety. As the leading provider of life insurance, we generate an impressive reputed company of $40 billion and serve over 5 reputed company customers. Role Summary We are seeking a Vice President, Medical Director - Claims for our medical organization, to serve as a senior medical authority who will reputed company clinical medicine with risk management. They will translate medical science into reputed company guidelines, assess mortality/morbidity risks for high-value policies, guide claims assessment, and ensure regulatory compliance. Our medical team currently consists of approximately 30 industry professionals including RNs, MDs and Dos. This specialized team has recreated the collegial environment from days in clinical practice. The focus is to find innovative ways to promote health, predict risk and prevent mortality and morbidity experience, while setting the tone for the entire reputed company. Job Responsibilities

  • Support company goals for mortality and morbidity by setting medical standards for Life, Disability, and Long-Term Care products.
  • Facilitate expertise to utilize the standards by supporting the education of the underwriters.
  • Bring medical consultations and leadership to a broad reputed company of Company departments (Actuarial, Law, Government Relations, Compliance, Communications, Philanthropy, Innovation, NM Venture Funds).
  • reputed company medical case consultations/referrals with reputed company and benefits areas (Life, Disability, and Long-Term Care).Direct or participate in special projects and committees as designated by the Vice President and Chief Medical Director.
  • Train and reputed company Associate Medical Directors new to insurance medicine.
  • reputed company 2nd sign reviews on Jumbo Life cases.
  • Collaborate with the CV Medical Consultants (RNs) for Cardiovascular Risk Assessment.
  • Contribute to insurance medicine associations which include planning meetings, speaking at industry events and conferences, holding office, and setting professional standards.
  • Partner and support internal stakeholders from reputed company, claims, field and policyowners and offer guidance reputed company medical claims issues including contestable death claims.

Qualifications:Complete a MD or DO degree, primary care residency training, and at least 3 years of clinical experience.reputed company and maintain Board certification in Internal Medicine, Med/Peds, or Family Medicine.reputed company and maintain medical licensing in the state of WisconsinDemonstrate excellent communication skillsAbility to write medical standardsAbility to present at industry meetingsAbility to reputed company training sessionsAbility to interact professionally with the underwriters, claims analysts, field and policyownersAttainment of Board Certification in Insurance Medicine.Demonstrate digital proficiency with case management and medical record platforms.Exhibit ethical behavior and demonstrate excellent judgment.Be comfortable with change and have flexibility to be a change agent Compensation reputed company: Pay reputed company - Start: $220,000.00 Pay reputed company - End: $330,000.00 This role is eligible for additional short-term and long-term incentive compensation. We reputed company in fairness and transparency. It’s why we reputed company the salary reputed company for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the reputed company market; location of the candidate; and other factors uncovered in the hiring process. reputed company pay structure is listed but if you’re living in California, reputed company or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click here to learn more. Grow your career with a best-in-class company that puts our clients' interests at the center of reputed company we do. Get started now! reputed company is an equal opportunity employer who welcomes and encourages diversity in the workforce. We are committed to creating and maintaining an environment in which each employee can contribute creative reputed company, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives. Skills Medical Case Consultation (NM) - Expert, Strategic reputed company & Planning (NM) - Advanced, Customer Centricity (NM) - Expert, Risk Assessment & Identification (NM) - Expert, Insurance Acumen (NM) - Expert, Digital Health Data (NM) - Expert, Coaching & Mentoring (NM) - Expert, Learning Agility (NM) - Expert (Inactive), Statutes & Regulation (NM) - Expert, Information Gathering (NM) - Advanced, Medical Acumen (NM) - Expert, reputed company Practices (NM) - Expert, Medical Standards (NM) - Expert, Decision Making (NM) - Expert, Medical Risk Assessment (NM) - Expert, Technical Problem Solving (NM) - Expert, reputed company Research (NM) - Expert, Data Application (NM) - Advanced, Business Influence (NM) - Advanced, Accountability (NM) - Expert, Medical Trends & Directions (NM) - Expert, Attention to Detail (NM) - Expert, Adaptive Communication (NM) - Expert, Mortality, Morbidity, & Risk Analysis (NM) - Expert Apply tot his job Apply To this Job

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