Legal Nurse Consultant Claims Investigator

Job Title: Claims Investigator WFH


An exclusive role of a Legal Nurse Consultant with Corporate Main Campus, Nashville, TENNESSEE, USA.

About The Role:

Provide information to the HCI Claims Professionals, facility Risk Managers and defense counsel that will assist in early evaluation of a claim. Claims Professional can then decide to attempt resolve claim or deny at the earliest opportunity.

• Research, reviewing and summarizing medical records, preparing reports as required by HCI for each claim
• Communications with claimants and their counsel, witnesses, defense counsel, risk managers either by phone, in writing or in person
• Attendance at mediation/travel

MINIMUM QUALIFICATIONS:

• Bachelors Degree Required
• Nursing Degree Preferred
• Former or current license in nursing (desired)
• Ability to establish and maintain positive customer relationships (required)
• Excellent verbal and written communication skills (required)
• Experience in negotiation (required)
• Proficient in keyboarding, Microsoft Office and internet searches (required)
• Experience with STARS claims information system (desired)
• Working knowledge of medical and legal terminology (required)
• Ability to multi-task and work collaboratively with several individuals (required)
• Ability to prioritize, handle multiple claims with due dates and time management skills(required)

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