19 days old
2017-11-022017-12-02

Nurse Consultant I - LTD

MetLife
Oriskany, NY 13424
**Job Location:** Oriskany, NY **Alternate Job Location:**







**Role Value Proposition:**







Global Operations (Global Ops) focuses on creating positive experiences for MetLife customers and helping the company make the best use of its global resources. Were looking for unique talent with fresh perspectives that can propel innovation. In this role you will investigate disability claims and makes determination on claims settlement within authorized guidelines







**Key Responsibilities:**







+ Manages assigned caseload of complex cases; applies specialized training/knowledge to the assessment of cases; provides 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:**



**Required**







+ 2+ years of Clinical Experience



+ Nursing degree with RN license



+ Strong written and verbal communication skills







**Preferred**







+ BSN



+ Disability claims experience preferred



+ 5+ years of long term disability insurance claims experience or experience in Workers Compensation case management, private rehabilitation risk management, occupational health or rehabilitation facility experience highly preferred







**Travel**







_0-5%_







**Business Category**







_Global Technology and Operations_







**Number of Openings**







_1_







**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 #: 85022

Categories

  • Insurance
  • Legal
  • Healthcare

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Nurse Consultant I - LTD

MetLife
Oriskany, NY 13424

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Nurse Consultant I - LTD

MetLife
Oriskany, NY
US

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