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Clinical Underwriting Consultant in Windsor, CT at Voya

Date Posted: 2/15/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Windsor, CT
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    2/15/2019

Job Description

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Profile Summary:

Voya Financial in Minneapolis, MN and Windsor, CT is looking to hire 2 Clinical Underwriting Consultants. In this role the Clinical Consultants will favorably impact the Stop Loss risk profiles through early identification of potential high cost patients. This is a fantastic opportunity to join a newly formed team of Clinicians within one of our core businesses.

Profile Description:

  • Serves as a subject matter expert in the evaluation of medical information to clarify diagnoses, evaluate the severity of medical conditions, and estimate the duration of treatment and expected future costs.

  • Researches clinical conditions and provides analytical review of the medical and/or pharmacy data to formulate the history of events. Gathers and prepares preliminary clinical and medical analysis based on information from historical claims utilization data.

  • Provide support to rate development through timely and accurate clinical and medical analysis to ascertain future risks and support the underwriting and risk management decision

  • Works collaboratively with the cost containment team ensure a proper hand off of potential high cost patients. Prepares clinical and medical analysis based on employer group utilization and claims data and coordinates with the appropriate Cost Containment specialty teams to address these identified risks.

Knowledge & Experience:

  • Bachelor’s degree - current unrestricted RN license, or equivalent clinical degree

  • Minimum 5 years of clinical experience

  • Minimum 2 years insurance experience

  • Analytical and problem solving skills

  • Excellent interpersonal and negotiation skills to act as a company representative

  • Experience in Microsoft Office products

#CB

#LI-NA1

Critical Skills
At Voya, we have identified the following critical skills which are key to success in our culture: 

  • Customer Focused: Passionate drive to delight our customers and offer unique solutions that deliver on their expectations.
  • Critical Thinking: Thoughtful process of analyzing data and problem solving data to reach a well-reasoned solution.
  • Team Mentality: Partnering effectively to drive our culture and execute on our common goals. 
  • Business Acumen: Appreciation and understanding of the financial services industry in order to make sound business decisions. 
  • Learning Agility: Openness to new ways of thinking and acquiring new skills to retain a competitive advantage.

Learn more about Critical Skills.