Clinical Consultant

Sun Life•Wellesley, MA
•$77,400 - $116,100•Hybrid

About The Position

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our team members and leaders are expected to foster connection and teamwork by being present in the office at least 2 days per week. The opportunity: Sun Life operates with a Work Is Healthy (WisH) approach for disability claims management. As a Clinical Consultant within our Clinical Services team, you will apply your clinical expertise as a member of an interdisciplinary team that focuses on returning clients to optimal levels of productivity. This role does not involve hands-on assessment or direct care. All work is solely performed using electronic medical records and phone/fax communication.

Requirements

  • Ability to work with a diverse range of people
  • RN licensure, active and unrestricted, BSN preferred
  • 3+ years of clinical experience working with an adult working age population
  • Strong communication skills to consult professionally across multiple audiences.
  • Proficiency in Microsoft Office tools, including Outlook, Word, Excel, and clinical systems.
  • Self-motivated with excellent critical thinking, time management, and judgment skills.

Nice To Haves

  • Specialty certification such as CCM, CRRN, or eligible with desire to pursue a plus
  • Experience in a rehabilitation setting, Occupational Health, Case/Care Management, Disability Insurance, Group Benefits, or Workers compensation a plus

Responsibilities

  • Evaluate medical documentation to assess disability claims and functional capabilities.
  • Provide clinical insight on complex medical conditions, treatment plans, and recovery timelines.
  • Collaborate with claims professionals to synthesize facts and support quality decisions.
  • Educate and consult with physicians, vocational counselors, employers, and other stakeholders.
  • Communicate medical determinations via phone and written reports.
  • Support return-to-work (RTW) planning through evaluation of restrictions, accommodations, and functional potential.
  • Participate in peer collaboration and claims roundtables to share best practices.
  • Mentor peers and educate internal teams on clinical topics and trends.

Benefits

  • Generous vacation and sick time
  • Market-leading paid family, parental and adoption leave
  • Medical coverage
  • Company paid life and AD&D insurance
  • Disability programs
  • Partially paid sabbatical program
  • 401(k) employer match
  • Stock purchase options
  • Employer-funded retirement account
  • Flexible, inclusive and collaborative work environment that supports career growth
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