RN Medical Review Nurse (Hybrid)

Aon
United States
Workplace: HybridFull timeUSD 77,000 - 94,000 annuallyFunction: Healthcare (Clinical, Medical, Wellness)Skills: ["Analytical skills","Organizational skills","Decision-making","Communication","Digital literacy"]

Provide cost projections and underwriter support by reviewing medical claims data and documentation to identify and project future medical risks for underwriting. Assess claims and medical information, research diagnoses and treatment plans, and interpret medical records and underwriting reports. Deliver written assessments for rate development for new and renewal business, and collaborate with underwriters and Senior Management on higher-risk cases.

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FursaFursa
Aon
Aon
1 day ago

RN Medical Review Nurse (Hybrid)

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Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 19 hours agoStatus: Live

Job Summary

Provide cost projections and underwriter support by reviewing medical claims data and documentation to identify and project future medical risks for underwriting. Assess claims and medical information, research diagnoses and treatment plans, and interpret medical records and underwriting reports. Deliver written assessments for rate development for new and renewal business, and collaborate with underwriters and Senior Management on higher-risk cases.
Location: United States
Workplace: Hybrid
Employment Type: Full time
Job Function: Healthcare (Clinical, Medical, Wellness)
Seniority: Mid level

Key Responsibilities

  • •Assess claims and medical information to calculate potential risk by identifying claimants with catastrophic care needs.
  • •Research diagnoses, treatment plans, and average costs using varying resources.
  • •Read, analyze, and interpret medical records, claims files, and underwriting reports.
  • •Provide written assessments within encouraged timeframes to support rate-setting for new and renewal business.
  • •Connect with underwriters and Senior Management to advise on potential claims involving significant risk and investigate courses of treatment.

Pay and Benefits

Salary: USD 77,000 - 94,000 annually
Perks:Paid Leave401k

Key Requirements

  • •Minimum of three years clinical RN experience, preferably in a hospital setting.
  • •At least two years of experience in the health insurance industry with in-depth knowledge of UR and/or case management processes.
  • •Must be a Registered Nurse.
  • •Strong analytical, organizational, and decision-making skills with business orientation.
  • •Strong digital literacy and excellent written and verbal communication skills.
Experience:Health insuranceHospitalSelf-funded insurance
Skills:Analytical skillsOrganizational skillsDecision-makingCommunicationDigital literacy
Licenses:Registered Nurse
Languages:English

Company Brief

Aon
Global professional services firm providing risk, retirement, human resources, and insurance brokerage solutions to clients worldwide, including consulting, reinsurance, and data-driven risk management services.
Industry: Insurance
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: London, United Kingdom
Founded: 1982
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