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Clinical Care Consultant

Dearborn GroupPortland, Maine, United StatesRemote, Onsite

At Dearborn, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary


Responsible To Contribute To The Overall Success Of The Clinical Operations Function By Providing Timely And Accurate Support To The Client Companies And Claims Department To Ensure The Timely, Independence And Impartiality Of All Persons Involved In Making Claim And Appeal Decisions.
Required Job Qualifications: 

  • Current RN licensure, without standing or pending censure by any state in the state of residency and the state of employment and registrations, and/or any professional designations that may be required within the jurisdiction.
  • 2 years clinical experience
  • Minimum of 1 years of clinical consulting experience in a disability claims setting.
  • Assessment, problem solving, plan development and implementation skills.
  • Knowledge and understanding of CPT, ICD-9 and ICD-10 medical information within claim systems on cases referred.
  • Experience with LTD and or STD with variety of impairment knowledge.
  • Analytical and decision-making skills.
  • Verbal and written communication and interpersonal skills.
  • Knowledge of clinical terminology and practice processes.

*THIS IS A FULLY REMOTE POSTION MUST LIVE WITHIN 250 MILES OF POSTED LOCATION*#LI-REMOTE

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!


Pay Transparency Statement:


At Dearborn, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan,pension plan,a minimum of 15 days’ of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-timeemployees. The salary offered will vary depending on your job-related skills, education, knowledge, and experience.

This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

Dearborn Group Employment Statement:


We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$58,800.00 - $130,100.00

Life at Dearborn Group

Dearborn Group is the trade name for Dearborn Life Insurance Company. Since 1969, we have partnered with more than 25 Blue plans and have been providing ancillary benefits to employer groups across the country. As the ancillary subsidiary of Health Care Service Corporation (HCSC), we kicked off a multiyear business transformation in 2019 to sell and service our ancillary products under the Blue Cross and Blue Shield brand in Illinois, Montana, New Mexico, Oklahoma, and Texas. We are proud to be able to brand our products Blue, and we are excited to offer this capability with other Blue plans. This gives us the flexibility to compete with national and commercial carriers by executing and leveraging on the promise of the Blue brand. When combined with Blue medical coverage, our suite of employer-paid and voluntary insurance solutions—life, short- and long-term disability, vision, critical illness and accident insurance—creates a comprehensive benefits package and gives employers, their employees, and their families complete peace of mind.
Thrive Here & What We Value1. Purpose-driven company2. Investment in professional development3. Inclusive workplace4. Respect for differences5. Rewarding careers6. Employee referral process7. Equal Opportunity Employment/Affirmative Action employer8. Collaborative work environment9. Curated development plans10. Valuing unique differences of employees
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