Clinical Consultant

Manage and organize task lists and open items. Provide case oversight for Clients health plan Case Management nurses. Provide explanation of disease states and associated costs. Provide the underwriting department with cost-of-care estimates used in the risk assessment of stop loss underwriting. Consult with and advise underwriting on medical/clinical care approaches, standards of care and research of data for new business and renewal underwriting. Serve as the primary resource to claims auditors regarding medical necessity issues, standards of care and analysis for the reimbursement of submitted stop loss claims. Initiate process improvements on an ongoing basis to generate additional claims cost containment opportunities. Use multiple technologies for identifying and monitoring risk identification, coaching, and guidance for individuals into appropriate health care programs. Review of all documents related to clients’ stop loss coverage including policies and administrative agreements to ensure accuracy and prevent gaps in coverage.

According to JobzMall, the average salary range for a Clinical Consultant in 2100 Ross Ave #2500, Dallas, TX 75201, USA is between $37,000 to $93,000 USD per year. This is an average salary range and the actual salary may vary depending on the experience and qualifications of the individual.

Lockton is the world’s largest privately owned, independent insurance brokerage firm. Clients across the globe count on Lockton for risk management, insurance and employee benefits.