RN Clinical Consultant (Disability Claims)

Location: Remote in the United States, or onsite in Plano, Texas; Bethlehem, Pennsylvania; or Holmdel, New Jersey. Occasional travel of 0–10%.

Salary: $68,970–$113,310 per year, plus potential incentive compensation.

Company

hirify.global provides insurance and disability-related services focused on supporting customer well-being and recovery outcomes.

What you will do

• Review short-term and long-term disability claims, medical documentation, functional limitations, treatment progress, and expected recovery timelines.
• Assess how illness, injury, and treatment affect occupational and daily living activities, then provide clinical recommendations supporting claim decisions.
• Collaborate with treating providers, claimants, case managers, and vocational rehabilitation specialists to clarify medical information and support return-to-work opportunities.
• Educate claims professionals and peers on medical conditions, treatment interventions, functional impairments, and disability outcomes.
• Coordinate independent medical reviews and assessments while ensuring quality, accuracy, and timely resolution of complex clinical questions.
• Manage a high-volume workload, resolve issues proactively, and provide mentoring and training to claims staff.

Requirements

• Active Registered Nurse license and at least 5 years of direct acute patient care experience.
• At least 3 years of experience as a clinical consultant in long-term and/or short-term disability, preferably long-term disability.
• Strong knowledge of medical conditions, treatments, functional capacity, and disability duration.
• Excellent communication, clinical assessment, analytical, critical-thinking, research, organizational, and time-management skills.
• Ability to exercise independent clinical judgment, prioritize competing demands, and adapt to changing business needs.
• Proficiency with Microsoft Word, Excel, and PowerPoint.

Nice to have

• Bachelor of Science in Nursing.
• Certified Case Manager designation.
• Experience with disability, absence management, or insurance claims operations.
• Knowledge of disability products, business rules, and claims procedures.
• Experience with DCMS, Claim Facts, iProcess, or similar claims management systems.

Culture & Benefits

• Full-time employment with benefits eligibility.
• Support for professional skill-building, leadership development, and career growth.
• Flexible and inclusive workplace resources focused on employee well-being.
• Opportunities to participate in philanthropic and community-building initiatives.

Hiring process

• Guardian may use artificial intelligence tools for preliminary application screening, with an option to opt out and request an alternative process.
• Employment-based visa sponsorship is not available; applicants must already be legally authorized to work in the United States without current or future employer sponsorship.