Description
Locations: Oriskany, NY or Tampa, FL-primarily virtual role, with in-person collaboration days. Must be within a commutable distance of the Oriskany, NY Or Tampa, FL office location
Key Responsibilities:
* Provides professional medical, technical, consulting advice, and recommendations in support of claims evaluation, investigation and assessment for various claims-related departments, while managing assigned caseload of complex case applying specialized training and knowledge to the assessment of cases and acting as a resource on clinical and technical issues.
* Conducts complex research, review and analysis of medical records, treatment plans and claim information.
* Provides recommendations regarding claimants' current potential functional abilities and develops goal-focused return-to-work plan.
* Assess training needs and creates, authors and presents medical training to claim and business partner associates.
* Engages claimants, healthcare providers, employers and customers to ensure strict adherence in determining functional abilities.
* Engages claimants, health care providers and employers in return to work potential and planning while coaching claim specialists on identifying and acting upon return to work potential.
* Creates effective requests for medical information which focus on clarifying medical restrictions and limitations and their impact on work functionality.
* Performs other related duties as assigned or required
Essential Business Experience and Technical Skills:
Required
* Moderate knowledge of computer systems.
* Strong written/verbal communication.
* Current RN licensure
* 4+ years of experience as an RN
Preferred
* BSN
* 7+ years of Disability claims and/or clinical experience.
* Disability claims experience
* Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist).
* Possess strong knowledge of medical conditions, symptoms, and terminology.
Equal Employment Opportunity/Disability/Veterans
If you need an accommodation due to a disability, please email us at accommodations@ This information will be held in confidence and used only to determine an appropriate accommodation for the application process.
MetLife maintains a drug-free workplace.
Compensation Information:
$0.0 / - $0.0 /
Starting At: 0.0
Up To: 0.0
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