Clinical Nurse Consultant, Individual Claims

at  Mutual of Omaha

Location: Remote
Work Type: Full Time Regular
Job No: 503454
Categories: Claims/Claims Processing
Application Closes: Open Until Filled
As our Clinical Nurse Consultant, you’ll play a critical role on our LTC claims team, reviewing medical information, writing summaries, and providing key insights on claimants’ functional capacity. Your strong medical knowledge, documentation skills, and ability to draw conclusions from medical records will ensure accurate and efficient claim processing.

WE VALUE DIVERSE EXPERIENCE, SKILLS, AND PASSION FOR INNOVATION. IF YOUR EXPERIENCE ALIGNS WITH THE LISTED REQUIREMENTS

If you have questions about your application or the hiring process, email our Talent Acquisition area at careers@mutualofomaha.com. Please allow at least one week from time of applying if you are checking on the status.
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• Review medical records, summarize key findings, and determine if they support Activities of Daily Living (ADL) restrictions.
• Use your clinical expertise to assess physical and cognitive loss, drawing sound conclusions on claimants’ functional capacity.
• Collaborate with claims associates and medical staff, offering guidance on complex cases while educating others on medical conditions.
• Maintain open communication with policyholders, providers, and other stakeholders to ensure clarity and consistency in claim reviews.
• Leverage critical thinking and judgment to process information quickly in a fast-paced environment, ensuring accuracy and compliance.