Alternate Locations: Atlanta, GA (Georgia); Charlotte, NC (North
Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska);
Phoenix, AZ (Arizona)
Relocation assistance is not available for this opportunity.
About the Company
Lincoln Financial Group, a Fortune 250 company with over 10,000
employees, provides advice and solutions that help empower
Americans to take charge of their financial lives with confidence.
Our core business areas - Life Insurance, Annuities, Retirement
Plan Services and Group Protection - focus on supporting,
preserving and enhancing over 17 million customer's lifestyles and
Headquartered in Radnor, Pennsylvania, Lincoln Financial Group
is the marketing name for Lincoln National Corporation (NYSE: LNC)
and its affiliates. The company had $238 billion in assets under
management as of December 31, 2018.
Ranked one of the Best Large Employers in America by Forbes
magazine, Lincoln Financial Group makes a serious investment in our
employees' futures through a broad range of wealth accumulation and
protection plans, health and wellness programs, and career
development resources designed to help each individual reach their
personal and professional goals.
Be Aware of Fraudulent Recruiting Activities
If you are interested in a career at Lincoln, we encourage you
to review our current openings and apply on our website. Lincoln
values the privacy and security of every applicant and urges all
applicants to diligently protect their sensitive personal
information from scams targeting job seekers. These scams can take
many forms including fake employment applications, bogus interviews
and falsified offer letters.
Lincoln will not ask applicants to provide their social security
numbers, date of birth, bank account information or other sensitive
information in job applications. Additionally, our recruiters do
not communicate with applicants through free e-mail accounts
(Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat
rooms. We will never ask applicants to provide payment during the
hiring process or extend an offer without conducting a phone, live
video or in-person interview. Please contact Lincoln's fraud team
at firstname.lastname@example.org if you encounter a recruiter or see a job
opportunity that seems suspicious.
General Purpose of Job
This role will review, analyze, and interpret medical
information related to behavioral health and substance abuse
conditions in short-term and long-term disability claims. S/he will
assess ongoing interventions and functional capacity in the
following areas: psychiatric, social, psychological, and
vocational. S/he will review clinical information to clarify
diagnoses, evaluate severity of behavioral health and substance
abuse conditions, validate medical restrictions/limitations,
estimate duration of recovery, and, collaborate with an
interdisciplinary team regarding a return-to-work plan. #LI-CH1
Duties and Responsibilities
Achieves and maintains professional continuing education units
(CEUs) by attending educational seminars and other required LFG
educational activities (i.e. ethics, confidentiality).
Acts as a resource, shares knowledge and coaches other nurses
and internal stakeholders through early assessment of behavioral
health issues, work capacity, and return to work opportunities.
Champions and enhances organizational initiatives by positively
influencing and supporting change management and/or
departmental/enterprise initiatives within assigned area(s) of
Consults with interdisciplinary team on more complex assignments
and/or projects for his/her assigned area(s) of responsibility.
Consults/Analyze on more complex assignments and/or projects for
his/her assigned area(s) of responsibility.
Educates attending health care providers regarding the need for
behavioral health medical information to support restrictions and
Identifies and recommends process improvements that
significantly reduce workloads or improve quality for his/her
assigned area(s) of responsibility.
Maintains knowledge on current and emerging developments/trends
for assigned area(s) of responsibility, assesses the impact, and
collaborates with management to incorporate new trends and
developments in current and future solutions.
Makes timely and appropriate referrals to internal and external
Prepares clear and concise verbal and written communications in
layman's terms when interpreting medical information, documenting
rationales for clinical opinions, clarifying restrictions and
limitations, and assisting with return to work.
Provides claims examiners with recommendations for specific
behavioral health medical information needed to evaluate ongoing
level of impairment and helps to facilitate and promote optimal
Serves as a resource to team members and applicable
internal/external stakeholders on more complex assignments/projects
for his/her assigned area(s) of responsibility.
Sets goals with management for personal and professional growth
and takes initiative to reassess throughout the year.
Supports team members in providing training and mentoring to new
claims staff, peers and/or other claim professionals.
Additional Position Responsibilities
Carries out duties in compliance with all state and federal
regulations and guidelines. Complies with all company and site
policies and procedures.
Makes a positive contribution as demonstrated by: - Making
suggestions for improvement - Learning new skills, procedures and
Performs other duties as required.
Remains current in profession and industry trends.
4 Year/Bachelor's degree in Nursing or Master's degree in
Clinical Psychology or Social Work preferred (Minimum
Certification and Licensure
Registered Nurse - Current, unrestricted license in the state
where the position is located (Minimum required)
Licensure in Clinical Psychology or Social Work (LICSW or
LCMHC), Licensed Professional Counselor (LPC), or Certified Case
Manager (CCM) designation is preferred
Other Skills and Abilities
Ability to learn and utilize claim management system.
Ability to learn corporate computerized claim management
Ability to perform under stress in cases of emergency, critical
or hazardous situations.
Ability to review, synthesize and summarize medical information
to assess level of functional impairment.
Ability to work with others in a team environment.
Demonstrated strong relationship management skills with internal
clients (e.g. management, peers and colleagues); proven ability to
develop collaborative approaches.
Demonstrates ability to identify and recommend processes
Demonstrates excellent organizational skills with the ability to
prioritize workload and multi-task while maintaining strict
attention to detail.
Demonstrates knowledge, skill and problem solving in
communicating effectively with internal customers and external
Demonstrates strong interpersonal skills with a collaborative
Demonstrates the ability to use sound judgment and discretion
regarding confidential information.
Disability Management (STD/LTD) knowledge.
Disability, absence management and/or Workers Compensation
Exceptional customer service skills.
Finds common ground and can gain collaboration among management,
colleagues and peers; can influence outcomes without directing or
Knowledge of medical terminology.
Proficiency with Microsoft Office Suite (Word, Excel,
Strong project management skills including, critical ability to
coordinate and balance multiple projects in a time-sensitive
environment, under pressure, and meeting deadlines.
Successfully completes regulatory and job training
3 - 5+ Years of experience in inpatient or outpatient therapy
directly related to the specific responsibilities of this role
This position may be subject to Lincoln's Political Contribution
Policy. An offer of employment may be contingent upon disclosing to
Lincoln the details of certain political contributions. Lincoln may
decline to extend an offer or terminate employment for this role if
it determines political contributions made could have an adverse
impact on Lincoln's current or future business interests,
misrepresentations were made, or for failure to fully disclose
applicable political contributions and or fundraising
Any unsolicited resumes/candidate profiles submitted through our
web site or to personal e-mail accounts of employees of Lincoln
Financial Group are considered property of Lincoln Financial Group
and are not subject to payment of agency fees.
Lincoln Financial Group ("LFG") is an Equal Opportunity employer
and, as such, is committed in policy and practice to recruit, hire,
compensate, train and promote, in all job classifications, without
regard to race, color, religion, sex (including pregnancy), age,
national origin, disability, sexual orientation, gender identity
and expression, veterans status, or genetic information. Applicants
are evaluated on the basis of job qualifications. If you are a
person with a disability that impedes your ability to express your
interest for a position through our online application process, or
require TTY/TDD assistance, contact us by calling 260-455-2558.
Nearest Major Market: Omaha
Nearest Secondary Market: Council Bluffs
Job Segment: Claims, Bank, Banking, Law, Marketing Consultant,
Insurance, Finance, Legal, Marketing