Clinical Consultant

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

Job Description:

Location: We support US flexible working arrangements in the contiguous 48 states.  

At Sun Life, we look for optimistic people who want to make life brighter for our Clients. We understand the value of diverse cultures, perspectives, and identities, and want you to bring your full and authentic self to work. Every day, you’ll be empowered and challenged by working with dynamic colleagues to find new and innovative ways to make Sun Life the best benefits company in America. 

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.

How you will contribute: 

• Conduct comprehensive clinical assessments of disability claims that are referred in different venues.

• Clarifies medical information and/or interprets medical reports (IMEs/FCEs, hospital and office records, and health care provider’s (HCP) calls and letters) and evaluates restrictions and limitations to assess current and ongoing level of impairment. 

• Synthesizes pertinent facts and answers questions in collaboration with claims professionals

• Meets standards set by management for quality and performance

• Applies current clinical knowledge to medical data regarding diagnosis, treatment, prognosis, and impairment

• Participates proactively through early assessment of medical conditions, functional capacity, and return to work (RTW) opportunities

• Provides whole person analysis, documenting rationale for opinions and recommended next steps

• Makes appropriate decisions and takes action as indicated to obtain additional medical information and/or referral to the appropriate resource, such as physician, claims professional, or vocational resource

• Provides input and assistance to identify and collect pertinent …