Medical Consultant

Unum•Portland, ME
•$133,500 - $274,100•Hybrid

About The Position

We’re expanding our team of experienced physicians specializing in Internal Medicine, Family Practice, Occupational Medicine, and Physical Medicine & Rehabilitation to join us as expert Medical Consultants. This is a unique opportunity to leverage your clinical expertise in a full‑time role—without direct patient care. As a Medical Consultant, you’ll apply your medical training to review and evaluate clinical documentation for disability claims in a collaborative, team‑oriented environment. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to accepted norms of medical practices and Code of Conduct guidelines. Physicians and psychologists conduct their reviews and analyses within appropriate ethical standards and maintain their professional licenses and Board certifications. This role is expected to provide excellent customer service and to interact on a regular basis with business partners, health care providers, and other specialized resources.

Requirements

  • Professional Degree (MD, DO, PhD, PsyD)
  • Active, unrestricted US medical license
  • Board certification required for physicians in their area of specialty (Physical Medicine & Rehabilitation (PM&R), Internal Medicine, Occupational Medicine or Family Practice)
  • Minimum of five years of clinical experience in medical specialty
  • Strong team and collaborative skills. Ability to work in a fast paced, team based, corporate environment
  • Ability to mentor others and to give and receive constructive, behaviorally based feedback with peers and partners

Responsibilities

  • Provide timely, clear medical direction and opinions to team partners, with reasoned forensic analysis to support the medical opinions
  • Partner/consult with fellow medical consultants when appropriate to ensure the completion of a whole person analysis
  • Apply medical knowledge to determine functional capacity through assessment of medical and other data related to impairment, regarding accuracy of diagnoses, treatment plans, duration guidelines, and prognosis
  • Provide relevant medical education and knowledge to others in terms appropriate and understandable to the intended audience
  • Perform telephone contacts with the insured’s healthcare providers to gather medical information and to facilitate a better understanding of the claimant's functional abilities
  • Make timely and appropriate referrals for second opinion reviews when appropriate or required according to current guidelines and best practices
  • Demonstrate ability to manage and complete high volumes of assigned work, maintain consistently good turnaround times, and operate with a sense of urgency
  • Focus not only on individual workload, but on the team/group work volumes to ensure organizational success
  • Receive feedback and follow through with appropriate behaviors/actions
  • Perform other duties as assigned

Benefits

  • Award-winning culture
  • Inclusion and diversity as a priority
  • Performance Based Incentive Plans
  • Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
  • Generous PTO (including paid time to volunteer!)
  • Up to 9.5% 401(k) employer contribution
  • Mental health support
  • Career advancement opportunities
  • Student loan repayment options
  • Tuition reimbursement
  • Flexible work environments
  • healthcare benefits (health, vision, dental)
  • insurance benefits (short & long-term disability)
  • performance-based incentive plans
  • paid time off
  • a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Ph.D. or professional degree

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