The SeniorClinical Consultantwill work in partnership withClinical and VocationalLeaders to provide ongoing coaching and oversight toClinical Consultantsand will serve as clinical subject matter expert inalllines ofbusiness(STD/LTD/Appeals) andproducts,action planning management, and Guardian systemsThis incumbent will have a strong clinical and client focus toassistin ensuring the fair andaccurateassessments of medically supported functional abilitiesTheywillassistin cultivating talent and foster an environment of continuous learning. They will promote organizational excellence bydemonstratingleadership, problem-solving behaviors, andviewing challenges as opportunitiesThis individualwill 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 willassistthe Clinical Team Manager in managing and resolving issues that come up related to clinical processes, claim management activities, customer inquiries, and quality.
You are
Ahighly motivatedand reliableindividualwhocanwork withvarying levels ofsupervision – independently or collaboratively.Youaredetail-oriented and adecisive decision makerwhocanmanage multiple priorities at the same time with a positive attitude
You have
A minimum of5years of(STD,LTD, Appeals)claim experience, minimum of 2 years disability experience
A minimum of 5 years in direct patient care settings
BSN and CCM preferred
Excellent verbal and written communication skills and presentation skills
Ability to exercise independent & sound judgment in decision making
Strong problem-solving, analytical, clinical,and information research skills
Excellent time management & organizational skills
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
The ability to remain flexible due to changing business needs
Proven ability to mentor and coach
Proficiencyin MS Word, Excel,PowerPoint, DCMS, Claim Facts, and iProcess
You will
Train andmentorall newClinical Consultants
Provide ongoingtraining,coaching anddevelopmentto allClinical Consultantmembers
Organize and presentat least oneClinicalTraining session for the Claims teams over the course of a year
Work withTeam Managerto delegate, distribute,and monitor workloads within the department to meetdepartmentalregulations, improve efficiency and reduce oreliminatebacklogs
Assist Team Manager when needed tomonitorcaseloads,productivity,andparticipate incalibration sessions with ourClinicalCMAandprovide feedbackto leadership andteam members
Oversee external vendorutilizationwithinteam
Leverage knowledge and skills to flex andassistthe overall team meetitsgoals,(i.e.,assistwithSTD/LTD/Appeals, flex andassistif needed)
Collaborate withclaimspartners to resolve conflicts andestablishprocedures that promoteclinicalclaim management accuracyandimprovedcustomer service
Addressescalated customer inquiries and formal complaints Senior BHCM will also be first point of contact for SI ormental health crisiscalls.
Support training initiatives byidentifyingknowledgegaps andproviding ideasforimprovement
SupportCliniciansindevelopingefficient desk & time management skills
Collaborate with peers and leadership to ensure consistency with mentoring and coaching
Co-facilitate team meetings to share best practices, workflow changes,trends,and insightsin alignment withGroup benefits strategies
Provide desk coverage forleadership as needed
When not engaged in the above activities are expected to meet the same metrics and performanceobjectivesas aClinical Consultant
Reporting Relationships
As ourSeniorClinical Consultant,you will report toa Clinical and VocationalTeam Manager,who reports totheHeadof DisabilityClinical and Vocational Organization
Location
Flexible – work primarily from home. May be expected tocome into a Guardian work location occasionally, asdeterminedby theirpeopleleader.
Travel
Occasional 0-10%of the time.
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 www.guardianlife.com/careers/corporate/benefits 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 MyHR@glic.com 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 https://www.guardianlife.com/careers). 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 MyHR@glic.com, 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 MyHR@glic.com
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.
Who we are
Guardian makes a difference in the lives of people when they need us most. With over 160 years of stability and fiscal integrity, we are a trusted resource to generations of families and business owners, inspiring well-being and helping build financial confidence.
Today, we stand behind 29 million consumers, helping them prepare and plan for a bright future for themselves and their families. We help business owners care for their employees. And we help people recover and thrive in times of unexpected loss.
As a modern mutual insurance company, we believe in driving value beyond dividends. We invest in our colleagues, are building an inclusive and innovative culture, and are helping to uplift communities through thoughtful corporate impact programs.
What we stand for
In 1860, a community of immigrants joined together to insure and protect their businesses and families. They were guided by powerful ideals that we’ve continued to stand behind and evolved throughout the years: we do the right thing, we believe people count, we courageously shape the future together, and we go above and beyond for the people we serve.
Guardian employees embrace and live by these values every day. They remind us to put people at the heart of all we do so that we can help protect what matters most to you. Want to help bring these values to life? Join us for a rewarding career and the opportunity to shape the future.
Disclosures:
Financial information concerning Guardian as of December 31, 2022, on a statutory basis: Admitted assets = $76.0 billion; liabilities = $67.2 billion (including $55.0 billion of reserves); and surplus = $8.8 billion. Dividends are not guaranteed. They are declared annually by Guardian’s Board of Directors.
Guardian® is a registered trademark of The Guardian Life Insurance Company of America. © Copyright 2023 The Guardian Life Insurance Company of America 2023-156184 Exp. 5/25
