Nurse Reviewer

LPN State License must be active and in good standing for the entirety of the assignment.

Be prepared to share license at the time of offer acceptance

Training:

• Training is fully virtual with cameras expected to be on. Start time is 8 AM Eastern Time. Training period consists of 3 weeks in virtual classroom and at least 3 additional weeks of training audits with reduced scheduling. The duration of this training audit period is contingent upon meeting quality standards.
• Once training is fully completed, some flexibility exists but standard business hours (8AM Eastern start time) is expected.
• Role is fully virtual; this requires access to high-speed Wi-Fi/cable/DSL internet (must be private/secured connection), a dedicated area to work with minimal interruption, and a smart phone ( for authentication purposes)
• Expected to be on camera for training and team meetings.

Job Overview

Review applications and medical documentation received from applicants/medical facilities to determine if Group Life or Disability insurance should be approved.

Responsibilities include:

• Examines and processes Statement of Health Applications; determines whether to return, put on pending, deny, approve or request additional medical information.
• Perform tasks in a customer focused manner to enhance and strengthen the relationship between the customer and Client.
• Processing customer applications in a concise, efficient and accurate manner with attention to detail.

Skills Required Include:

• Basic business acumen expected (i.e., written and verbal skills)
• Computer skills; proficient in use of multiple systems and technology resources.
• Able to maintain consistency of quality standards by utilizing job aids, work instructions and verbal direction.
• Ability to work independently to investigate medical details (i.e., research medical conditions and medications).
• Able to take feedback, shows a willingness to learn and adapt.
• Requires a high school diploma or equivalent.
• Licensed Practical Nurse (LPN) with current state license.
• Relies on instructions and pre-established guidelines to perform the functions of the job.
• Requires working in a large team environment with direction from various supervisory roles.
• Expected to maintain a set level of quality, production and attendance standards, as well as maintain communication with team leads.