VP-Medical Claims

Northwestern Mutual•Milwaukee, WI

About The Position

Summary: 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 spectrum of Company departments (Actuarial, Law, Government Relations, Communications, Philanthropy, Innovation, NM Venture Funds, etc.) Provide medical case consultations/referrals with underwriting 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 onboard Associate Medical Directors new to insurance medicine Perform 2nd sign reviews on Jumbo Life cases Collaborate with the CV Medical Consultants (RNs) for Cardiovascular Risk Assessment. Contribute to insurance medicine associations (e.g., planning meetings, speaking, holding office, and setting professional standards). Partner closely and support internal stakeholders from underwriting, claims, field and policyowners. Qualifications: Complete a MD or DO degree, primary care residency training, and at least 3 years of clinical experience. Achieve and maintain Board certification in Internal Medicine, Med/Peds, or Family Medicine. Achieve and maintain medical licensing in the state of Wisconsin Demonstrate excellent communication skills Ability to write medical standards Ability to present at industry meetings Ability to perform training sessions Ability to interact professionally with the underwriters, claims analysts, field and policyowners Attainment 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 Range: Pay Range - Start: $192,500.00 Pay Range - End: $357,500.00 This role is eligible for additional short-term and long-term incentive compensation. We believe in fairness and transparency. It’s why we share the salary range for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process. The standard pay structure is listed but if you’re living in California, New York City 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 all we do. Get started now! Northwestern Mutual 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 ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives. At Northwestern Mutual, we believe relationships are built on trust. That our lives and our work matter. These beliefs launched our company over 160 years ago. Today, they're just a few of the reasons why people choose to build careers at Northwestern Mutual as we are growing our digital and tech capabilities and are always on the lookout for bright, tech-savvy candidates. Northwestern Mutual is proud to be an equal opportunity employer. We have chosen to build a diverse and inclusive workplace where talented people from all backgrounds want to be, want to stay, and want to build their future. We celebrate and support our differences for the benefit of our employees, our products, and our community. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, disability, age or status as a protected veteran, or any other characteristic protected by law.

Requirements

Complete a MD or DO degree, primary care residency training, and at least 3 years of clinical experience.
Achieve and maintain Board certification in Internal Medicine, Med/Peds, or Family Medicine.
Achieve and maintain medical licensing in the state of Wisconsin
Demonstrate excellent communication skills
Ability to write medical standards
Ability to present at industry meetings
Ability to perform training sessions
Ability to interact professionally with the underwriters, claims analysts, field and policyowners
Attainment 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

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 spectrum of Company departments (Actuarial, Law, Government Relations, Communications, Philanthropy, Innovation, NM Venture Funds, etc.)
Provide medical case consultations/referrals with underwriting 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 onboard Associate Medical Directors new to insurance medicine
Perform 2nd sign reviews on Jumbo Life cases
Collaborate with the CV Medical Consultants (RNs) for Cardiovascular Risk Assessment.
Contribute to insurance medicine associations (e.g., planning meetings, speaking, holding office, and setting professional standards).
Partner closely and support internal stakeholders from underwriting, claims, field and policyowners.