Responsible for management of the company's liability through review of disability files to determine and clarify diagnosis, medical status, severity of impairment, estimated disability period and provide a recommendation for the course of future action.

• Responsible for providing quality medical reviews and written responses to the Benefit Specialists.
• Works closely with Benefits Specialist on Risk Management issues.
• Provides excellent information gathering skills by telephone calls, letter, e-mail and faxes to physician offices, claimants and employers.
• Researches new medical procedures and treatment by reading periodicals and attending seminars and workshops.
• Coordinates with Training to identify training needs and develop and conduct educational presentations to staff.
• Identifies opportunities for and utilizes internal Specialty Risk resources (Voc Rehab, Medical Consultants, SSDI, and Settlement) appropriately to benefit claim management.
• Responsible for evaluating the need for external vendor resources, selection of appropriate vendor services, coordination of vendor services and quality review of Independent Medical Evaluations (IME), Functional Capacity Evaluations (FCE) and Peer Reviews (PR).