Job Description

Description :

At OneAmerica, we deliver on promises when customers need us most. We believe the best way to serve our customers is to know that every individual, employee, family and business we work with has unique personal and financial goals. We keep our promises, so we can help them achieve their goals and realize their definition of financial success.

Job Summary

Responsible for Conducting comprehensive clinical assessments of long-term care, disability and life waiver of premium claims and provides feedback as to how medical findings relate to functionality. Includes reviewing toxicology, autopsy and other medical reports for life claims.

Current with medical technology, changes in medical and utilizes such when able. Will advise if changes should be considered in claim processes. Will provide or coordinates in-service training to claim staff.

Maintains a level of participation and commitment to OAs security, privacy and ethic policies.

Primary duties may include, but are not limited to

• Customer Experience and support: Provides effective, accurate and timely communication. Collaborates with internal and external customers in accordance with departmental customer service protocols.
• Performance and Service expectations: Maintains or exceeds departmental deadlines, requirements, service, accuracy, timeliness, and performance standards. Will take appropriate action to achieve objectives and will adjust their actions in response to shifting priorities and rapid change.
• Demonstrates the flexibility to perform other duties and projects as assigned, including
• but not limited to complex projects, actively leads by example when communicating.
• Process Improvement: Demonstrate EWA and support of the OneAmerica Ways.
• Identify opportunities for efficiency and innovation in process and communicate to leadership team.

Job Requirements

Required Education and/or Certifications

• Incumbent must be registered nurse. Clinical Care Manager must hold current licensure in the state of residency and the state of employment and registrations, and/or any professional designations that may be required within the jurisdiction. License must be current and without standing or pending censure by any state.
• The Clinical Care Manager must keep their clinical area of expertise current and acquire the necessary continuing education credits to keep his/her license, designation and/or certification current.

Required Work Experience

• Have a minimum of 3 years of clinical consulting in a disability or long term care setting

Salary Band: 06B

This selected candidate will be expected to work Hybrid in Portland, ME. The candidate will also be expected to physically return to the office in CA, WI, IN or ME as business needs dictate or for team-building and collaboration.

If you are offered and accept this position, please be advised that OneAmerica does not have any offices located in the State of New York and OneAmerica associates are not permitted to work remotely in the State of New York.

Disclaimer: OneAmerica is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individuals race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.

For all positions:

Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.

To learn more about our products, services, and the companies of OneAmerica, visit oneamerica.com/companies.

OneAmerica