Title: Legal Nurse Consultant (Hybrid)

Location: Itasca United States

Job Description:

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, ESG initiatives and IDE journey.

Our Medical Claims team is currently seeking a Legal Nurse Consultant to join our growing team in Itasca, IL.

At the Hanover we also understand that life and the workplace have changed so we have reimagined the workplace to provide flexible work arrangements that provide better work life balance. This position provides a flexible hybrid arrangement, with one or two days in the office. There is flexibility for substantial remote work once established in the position.

The Hanover is a diverse and inclusive organization focused on hiring the best talent and we encourage all qualified professionals to apply. We believe that an inclusive, diverse, and equitable workplace make us a better organization and creates a stronger community.

We encourage all qualified nursing professionals to apply!

Come Discover The Hanover Difference.

POSITION OVERVIEW:

The ideal candidate is a Registered Nurse/Attorney who will provide claims adjusters and attorneys with detailed analysis of medical records and other pertinent medical information significant to allegations in liability claims. As a Legal Nurse Consultant, this professional assumes a leadership and SME role on the team and has a skill level to evaluate a variety of complex medical issues in claims from various lines of business including, no-fault, liability, elder care facilities. The Legal Nurse Consultant will be able to independently review records, prepare reports analyzing medical strategy issues, and participate in discussions with adjusters, management, leadership, and attorneys on various strategy issues.

This is a full time / exempt position

IN THIS ROLE, YOU WILL:

Review, analyze, and summarizes medical records and other pertinent documents
Research current literature on medical issues and maintains reference library for adjusters and attorneys
Provide informed opinion on medical issues relating to causality, accepted standards of care and prognosis of alleged injuries/illnesses
Prepare exhibits for deposition, trial or mediation including charts, tables, graphs, power point presentations
Assist with the location, selection and preparation of medical expert witnesses and consultants and develops and maintains a network of such experts
Assist in the development of questioning for cross examination of opposing medical experts
Provide individualized training and development to adjusters and/or attorneys, as needed or requested
Attend roundtables, mediations, facilitations, settlement conferences, deposition and trials as requested, although most would be virtual only
Participate in special projects as requested
Participate actively with various vendors and or business partners
Achieve open to closed production expectations
Achieve closed referrals expectations
Achieve expected roundtable hours per month
Reduce and/or avoid costs of IME or record reviews by addressing relevant medical issues
Assist with training sessions as requested
Provide research on relevant issues in defense of a claim
Routinely verify physician credentials
Prepare adjusters and/or attorneys for depositions, mediations and trials with attendance as needed very rarely
Provide demonstrative evidence on medical issues such as timelines, graphs, power point presentations when requested

WHAT YOU NEED TO APPLY:

Registered nurse with 5+ years of relevant clinical experience in acute or ambulatory healthcare setting with a preference for orthopedic, neurosurgery, neurology, or elder care facilities.
Law Degree, legal nurse consultant degree or certificate, or commensurate legal experience, preferred.
Deep understanding of a wide variety of medical diagnoses, treatment, and prognoses that may be relevant to injuries sustained in automobile and non-automobile accidents, as well as, the impact of various complications and co-morbidities.
Understanding of the application of the standards of care in evaluating medical strategy issues in claims related to elder care facilities and providers, preferred.
Advanced casualty claim knowledge
Knowledge of local and national healthcare information resources and medical experts
Knowledge of legal terminology and basic litigation processes
Strong inquiry, analytical and technical writing skills
Effective interpersonal communication skills
Organizational skills with regard to time management, task prioritization, and integration of information from a variety of sources
Fluent in English
Has a clear understanding of the scope of role responsibilities, possesses a high level of technical expertise commensurate with the business needs
Knowledge of technical materials, rules, procedures or facts required to effectively performing the role
Deal with members and co-workers in a tactful, cooperative and helpful manner, reacts positively to suggestions or instructions from others
Understand the potential issues involved in change within the organization and can adjust to the changing work environment
Proficient using the Internet, Microsoft Office, various vendor software products and have good word processing ability
Ability to use a personal computer and other standard office equipment
Ability to sit and/or stand for extended periods
Required to work on-site as needed
Ability to travel as necessary
Ability to occasionally work hours in excess of 40 hours per week
Ability to work in a fast paced, changing, or stressful environment
When in the office, ability to perform work in a noisy/loud work environment

CAREER DEVELOPMENT:

It's not just a job, it's a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you - at every level - to grow and develop.

BENEFITS:

We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. At The Hanover, you'll enjoy what you do and have the support you need to succeed.

Benefits include:

Medical, dental, vision, life, and disability insurance
401K with a company match
Tuition reimbursement
PTO
Company paid holidays
Flexible work arrangements
Cultural Awareness Day in support of IDE
On-site medical/wellness center (Worcester only)

EEO statement:

The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law.

Furthermore, The Hanover Insurance Group is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law."

Applicants who are California residents: To see the types of information we may collect from applicants and employees and how we use it, please click here.

Other details

Job Function Claims
Pay Type Salary
Min Hiring Rate $90,000.00
Max Hiring Rate $100,000.00

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Itasca, IL, USA

Hanover Insurance Group

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