Senior Clinical Consultant (Remote)

The Senior Clinical Consultant will work in partnership with Clinical and Vocational Leaders to provide ongoing coaching and oversight to Clinical Consultants and will serve as clinical subject matter expert in all lines of business (STD/LTD/Appeals) and products, action planning management, and Guardian systems. This incumbent will have a strong clinical and client focus to assist in ensuring the fair and accurate assessments of medically supported functional abilities. They will assist in cultivating talent and foster an environment of continuous learning. They will promote organizational excellence by demonstrating leadership, problem-solving behaviors, and viewing challenges as opportunities. This individual will work with the Clinical Team Manager to drive performance and ensure the team meets their goals.? They will effectively communicate & explain departmental initiatives and changes as they relate to organizational goals & strategies.?? They will assist the Clinical Team Manager in managing and resolving issues that come up related to clinical processes, claim management activities, customer inquiries, and quality.

Y ou are :

A highly motivated and reliable individual who can work with varying levels of supervision - independently or collaboratively. You are detail-oriented and a decisive decision maker who can manage multiple priorities at the same time with a positive attitude.

You have :

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  A minimum of5years of(STD,LTD, Appeals)claim experience, minimum of 2 years disability experience

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  A minimum of 5 years in direct patient care settings

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  BSN and CCM preferred

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  Excellent verbal and written communication skills and presentation skills

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  Ability to exercise independent & sound judgment in decision making

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  Strong problem-solving, analytical, clinical,and information research skills

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  Excellent time management & organizational skills

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  Demonstrated ability tomulti-task with the ability to manage continually changing priorities and the ability to prioritize work based on customer service needs and departmental regulations

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  The ability to remain flexible due to changing business needs

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  Proven ability to mentor and coach

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  Proficiencyin MS Word, Excel,PowerPoint, DCMS, Claim Facts, and iProcess

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You will :

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  Train andmentorall newClinical Consultants

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  Provide ongoingtraining,coaching anddevelopmentto allClinical Consultantmembers

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  Organize and presentat least oneClinicalTraining session for the Claims teams over the course of a year

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  Work withTeam Managerto delegate, distribute,and monitor workloads within the department to meetdepartmentalregulations, improve efficiency and reduce oreliminatebacklogs

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  Assist Team Manager when needed tomonitorcaseloads,productivity,andparticipate incalibration sessions with ourClinicalCMAandprovide feedbackto leadership andteam members

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  Oversee external vendorutilizationwithinteam

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  Leverage knowledge and skills to flex andassistthe overall team meetitsgoals,(i.e.,assistwithSTD/LTD/Appeals, flex andassistif needed)

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  Collaborate withclaimspartners to resolve conflicts andestablishprocedures that promoteclinicalclaim management accuracyandimprovedcustomer service

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  Addressescalated customer inquiries and formal complaints. Senior BHCM will also be first point of contact for SI ormental health crisiscalls.

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  Support training initiatives byidentifyingknowledgegaps andproviding ideasforimprovement

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  SupportCliniciansindevelopingefficient desk & time management skills

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  Collaborate with peers and leadership to ensure consistency with mentoring and coaching

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  Co-facilitate team meetings to share best practices, workflow changes,trends,and insightsin alignment withGroup benefits strategies

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  Provide desk coverage forleadership as needed

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  When not engaged in the above activities are expected to meet the same metrics and performanceobjectivesas aClinical Consultant

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Reporting Relationships

As our Senior Clinical Consultant, you will report to a Clinical and Vocational Team Manager, who reports to the Head of Disability Clinical and Vocational Organization

Location

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• Flexible - work primarily from home. May be expected tocome into a Guardian work location occasionally, asdeterminedby theirpeopleleader.
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Travel

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• Occasional 0-10%of the time.
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Salary Range:

$68,970.00 - $113,310.00

The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

Our Promise

At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

Inspire Well-Being

As part of Guardian's Purpose - to inspire well-being - we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at . Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.

Equal Employment Opportunity

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

Accommodations

Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact . Please note: this resource is for accommodation requests only. For all other inquires related to your application and careers at Guardian, refer to the Guardian Careers site.

Visa Sponsorship

Guardian Life is not currently or in the foreseeable future sponsoring employment-based visas (e.g., such as an H-1B). In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship/support now or at any time in the future.

Notice Regarding Guardian's Use of Artificial Intelligence in Recruitment

As part of Guardian's job application process, Guardian may use artificial intelligence tools ("AI Tools") to automate the sorting and filtering of information provided by applicants as part of its preliminary screening. This preliminary screening may be used to help identify applicant materials and resumes relative to their indication that the applicant meets the requirements for the specific job for which they are applying, as specified in the listing posted on Guardian's jobs website (Careers at Guardian at ( ). At Guardian, we do not use AI Tools to substantially assist or replace human judgment or discretionary decision making in our hiring process. All hiring decisions will be made by Guardian colleagues.

Please be aware that if you apply for a specific position with Guardian, you will have the choice of opting out of Guardian's use of AI Tools during the job application process. If you would like to request an alternative process that does not utilize AI Tools or would like to request a reasonable accommodation, within ten business days of your position application, you must email your request to , making sure to provide your name and job requisition identification number. Guardian will retain your applicant materials and resume and all information therefrom in accordance with Guardian's document retention policy, a copy of which you may request via .

Additionally, at applicable times, Guardian will make public the most recent bias audit results for such AI tools, which may be found here ( .

Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.

Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being - mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com .

Visa Sponsorship:

Guardian Life is not currently or in the foreseeable future sponsoring employment-based visas (e.g., such as an H-1B). In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship/support now or at any time in the future.