Zurich is currently looking for a Clinical Case Manager for Plantation, FL to support the business expansion at our Plantation, FL Office. This role requires a service oriented candidate with demonstrated ability to prioritize their workload in a fast-paced environment, with proven organization and time management skills.
Core function will be performing reviews of disability, leave of absence and ADAA claims from a contractual and clinical perspective as well as serves as an integral partner with claim managers on orchestrating a safe and timely return to work via contacts with treating providers, employees and occasionally employers. Clinical Case managers will be highly involved in co-managing cases with claim managers as well as data mining predetermined claims. This position will at times include working on projects designed to development clinical tools, templates, protocols, and the development of, and possibly the presenting of, clinical training materials all under the direction of Zurich's Chief Medical Officer (CMO). Additional duties may also include training case management staff, and performing mini-medical lectures all under the direction of Zurich's CMO.
Performs reviews of disability, leave of absence, and ADAAA claims from a clinical and contractual perspective as well as serves as an integral partner with claim managers on co-managing complex claims and data mining predetermined claims.
Bachelors Degree (RN or BSN) and 2 or more years of experience of Clinical Care experience
2 or more years of clinical care experience is strongly preferred.
Case Management certification: CDMS, CCM, CRRN , or CRC
Experience in Long Term Disability Insurance, Family Medical Leave, State Leaves, and ADAA
Experience in managing Behavioral Health disability claims
Ability to work independently and prioritize
Effective organization, coordination, and communication skills
Professional and personal effectiveness in establishing relationships with case managers, clients, and peers
Ability to work as a team member coordinating client care
Imagine working for a company that truly cares about their employees, customers, stakeholders, and communities they serve. Imagine working for a values-driven organization that has the ambition and desire to be the best global insurance provider in the world. Zurich is that place where 55,000 employees across approximately 200 countries and territories are all focused on helping people and helping companies protect what is truly most important to them. We are a values-driven organization that takes pride in the work that we do every day and we have the ambition to be the best global insurer in the world.
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