Clinical Reviewer

Hartford Fire Insurance

Base: $66,800 - $100,200; bonus/equity: short-term...
Hybrid (3 days in-office, 2 days remote for local candidates; fully remote for candidates outside office locations)
Active registered nurse license required
Three years clinical experience minimum
Review medical and claim documentation
Hartford Fire Insurance is seeking a Clinical Reviewer to assess and evaluate medical treatments and return-to-work readiness, primarily through the review of medical and claims documentation. This full-time position allows for a hybrid or remote work schedule, catering to candidates with a strong clinical background, particularly in orthopedics, neurology, or rehabilitation

Job Summary

  • The Clinical Reviewer is responsible for assessing, planning, and evaluating medical treatment and return-to-work readiness through detailed analysis of medical and claim documentation.
  • This role partners closely with claims professionals to support effective medical and disability management while ensuring high-quality, timely, and cost-effective claim outcomes.
  • Candidates located near an office location are expected to work in the office three days per week, while those outside may work remotely with occasional in-office presence.

Matching Summary

Match Score: 85

Hartford Fire Insurance is seeking a Clinical Reviewer to assess and evaluate medical treatments and return-to-work readiness, primarily through the review of medical and claims documentation. This full-time position allows for a hybrid or remote work schedule, catering to candidates with a strong clinical background, particularly in orthopedics, neurology, or rehabilitation.

Salary

Base: $66,800 - $100,200; Bonus/Equity: Short-term or annual bonuses, long-term incentives available; Benefits: Not specified

Skills & Requirements

Must-have

  • Active Registered Nurse license required
  • Three years clinical experience minimum
  • Review medical and claim documentation

Nice-to-have

  • Bachelor's degree in health-related field
  • Prior critical care experience preferred
  • Strong analytical and problem-solving skills

Key Requirements

  • Active RN license or comparable healthcare designation
  • Minimum 3 years clinical experience in Orthopedics, Neurology, Rehabilitation, Medical/Surgical, or Occupational Health
  • CCM or CLCP certification preferred

Work Rights

Not specified

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