[Hiring] RN Clinical Consultant @Guardian Life Insurance

Role Description

Are you a registered nurse who is passionate about helping individuals achieve optimal recovery and return-to-work outcomes? Guardian is seeking an RN Clinical Consultant to serve as a clinical expert supporting the evaluation of short-term and long-term disability claims. In this role, you will:

• Analyze medical information and assess functional capacity.
• Collaborate with healthcare providers and provide clinical guidance that supports claim decisions.
• Enhance customer outcomes through sound clinical judgment and proactive case collaboration.
• Work independently while collaborating effectively with claim professionals, healthcare providers, vocational specialists, and internal business partners.
• Evaluate complex medical information and translate clinical findings into actionable recommendations.
• Act with urgency and accountability while maintaining a strong commitment to improving claimant outcomes and customer experiences.

Qualifications

• Active Registered Nurse (RN) license.
• Minimum of 5 years of direct acute patient care experience.
• Minimum of 3 years' experience as a clinical consultant in LTD and/or STD (LTD preferred).
• Strong knowledge of medical conditions, treatments, and their impact on functional capacity and disability duration.
• Excellent verbal and written communication skills.
• Strong clinical assessment, analytical, critical thinking, and research skills.
• Ability to exercise independent judgment and make sound clinical decisions.
• Strong organizational and time-management skills with the ability to prioritize competing demands.
• Proficiency with Microsoft Office applications, including Word, Excel, and PowerPoint.
• Ability to adapt to changing business needs and work effectively in a dynamic environment.

Requirements

• Bachelor of Science in Nursing (BSN) - Preferred.
• Certified Case Manager (CCM) designation - Preferred.
• Experience supporting disability, absence management, or insurance-based claims operations - Preferred.
• Knowledge of disability products, business rules, and claims procedures - Preferred.
• Experience with DCMS, Claim Facts, iProcess, or similar claims management systems - Preferred.

Benefits

• Support and flexibility to achieve professional and personal goals.
• Opportunities for skill-building, leadership development, and philanthropic activities.
• Contemporary, supportive, flexible, and inclusive benefits and resources.