Clinical Care Consultant – WBI – Remote

Symetra has an exciting opportunity to join our team as a Clinical Care Consultant!

About the role

This role supports the success of Clinical Operations by delivering timely, accurate clinical insights to the Claims team. You will help ensure claim and appeal decisions are handled with independence, consistency, and fairness.

What you will do

• Conduct clinical assessments for short- and long term disability claims, explaining how medical findings relate to function and documented restrictions/limitations.
• Provide written and verbal clinical input through walk ins, file reviews, team sessions, and consultation hours.
• Recommend independent medical exams (IME), functional capacity evaluations (FCE), or peer reviews, and document outcomes.
• Stay current on medical practices, technology, and clinical guidelines, applying them appropriately.
• Document claim files clearly, consistently, and professionally.
• Identify cases where additional medical insight may change the claim outcome or direction.
• Obtain information directly from medical providers through phone outreach or written communication.
• Guide Claims staff on what medical documentation is needed to evaluate function, restrictions, limitations, and expected duration.

Why Work at Symetra

Here’s what some of our employees have to say about why they work at Symetra:

“What I was searching for was a company that genuinely valued my voice—and I found that at Symetra. I truly enjoy working one-on-one with our customers, especially when they’re going through life’s toughest moments. Being able to offer support and hear their relief and gratitude when we help—it’s deeply meaningful. That’s what makes me proud to be part of the Symetra team.” - Lilly H., Claims Team Lead

 

“I chose Symetra because I heard it was a pro-employee company—and it’s absolutely true. The work environment is supportive, the people are great, and the benefits are generous. Symetra truly cares about its employees. The relaxed atmosphere and opportunities to learn and grow—both within your role and beyond—make it a great place to build your career.” - Alicia L., Claims Examiner

What we offer you

Benefits and Perks

We don’t take a “one-size-fits-all” approach when it comes to our employees. Our programs are designed to make your life better both at work and at home.

• Flexible full-time or hybrid telecommuting arrangements
• Plan for your future with our 401(k) plan and take advantage of immediate vesting and company matching up to 6%
• Paid time away including vacation and sick time, flex days and ten paid holidays
• Give back to your community and double your impact through our company matching
• Want more details? Check out our Symetra Benefits Overview

Compensation

Salary Range: $72,700 - $121,100 plus eligibility for annual bonus program

Qualifications Who you are

• High school diploma required; nursing degree from an accredited institution required.
• Active RN license(s).
• At least 2 years of direct clinical care experience in an acute care setting.
• Minimum 1 year of clinical consulting experience in a disability claims environment.
• Strong assessment, problem solving, and care planning skills.
• Understanding of CPT, ICD 9, and ICD 10 coding within claims contexts.
• Experience with STD/LTD and a range of clinical impairments.
• Strong analytical and decision making abilities.
• Excellent written and verbal communication skills.
• Comfortable interpreting clinical terminology and practice standards.
• Proficiency in Microsoft Office.
• Ability to work effectively in a fast paced, deadline driven environment.

We empower inclusion
At Symetra, we aspire to be the most inclusive insurance company in the country. We're building a place where every employee feels valued, respected, and has opportunitie