1+ months

Nurse Consultant

Bloomfield, CT
**Job Location:** United States : Bloomfield : Connecticut **Alternate Location:** United States : Aurora : Illinois; Tampa : Florida; Oriskany : New York

**Role Value Proposition:**

At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Global Technology & Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and solutions to address core business challenges with MetLife. This role will investigate disability claims and makes determination on claims settlement within authorized guidelines.

**Key Responsibilities:**

+ Manages assigned caseload of complex cases by applying specialized training/knowledge to the assessment of cases and providing technical insight and advice.

+ Reviews, records, and analyzes medical records and treatment plans data to make claims settlement determination.

+ Compares duration control guidelines and clarifies functional inconsistencies.

+ Provides recommendations to team regarding employee's current or potential functional abilities.

+ Develops goal-focused return-to-work plans.

+ Addresses barriers for return to work; facilitates communication between employee, physician and employer and partners with all parties to achieve a positive outcome.

+ Follows established claim policies and practices to resolve claims and issues.

+ Performs other related duties as assigned or required.

**Essential Business Experience and Technical Skills:**


+ Bachelor's degree

+ Current Sate designation

+ 5+ yrs. related experience in insurance claims.


+ Familiarity with STD Disability requirements.

+ Strong customer satisfaction focus.

**Business Category**

Operations : Claims

**Number of Openings**


**At MetLife, were leading the global transformation of an industry weve long defined. United in purpose, diverse in perspective, were dedicated to making a difference in the lives of our customers.**

MetLife is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MetLife's policy to ensure equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

MetLife maintains a drug-free workplace.

**For immediate consideration, click the Apply Now button. You will be directed to complete an on-line profile. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.**

Requisition #: 70541


  • Engineering
  • Insurance
  • Legal
  • Healthcare

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Nurse Consultant

Bloomfield, CT

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Bloomfield, CT

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