Must be within a commutable distance of the Oriskany, NY, Tampa, FL, Cary, NC, Aurora, IL, Bloomfield, CT, office location
In office once a month for meetings
Training - 8 - 10 weeks, M-F virtual (8 - 4pm) EST
Shift: 8 hour day + 1/2 hour lunch. Start time flexible from 7 - 9am EST.
Start Date: 03/2/2026
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:
· Bachelors in Nursing
· 4+ years clinical experience.
· Current RN licensure.
Preferred:
· 7+ years 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@metlife.com. 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.
...looking for those with an avid commitment to growing their career as a Waldorf teacher, as well as those who deeply enjoy educating children in the outdoors. We offer the amazing benefit of being located in the Sierra Nevada Mountains in Truckee, CA. We are surrounded by...
...2nd. 2026 Hours: 45 hours per/wk. Monday-Friday 9:00AM- 6:00PM Compensation:$1,125- $1,215/weekly paid by a W2 (Gross) or Cash + PTO+ Paid holidays. Duties: Provide baby with nurturing, love and security by keeping infant safe and happy at all times....
**Job Title:** Area Customer Service Coordinator**Summary:**Join our team as an Area Customer Service Coordinator, where you'll be a vital link in ensuring exceptional service delivery to our valued clients. Your role will encompass supporting daily operations, implementing...
...Title: Medical Device Sales Representative - Surgical Equipment Territory: Greater Memphis Area. Company: Surgical support device manufacturer, specializing in patient positioning and safety products used during spinal, neuro, and orthopedic surgeries. Highly...
...join one of our teams for the following publications: 1.) A cultural anthology e-book to the Big Island of Hawaii 2.) A trail and... ...positions available : 6 Internship Positions available Cultural Anthropology Intern Environmental Science Intern GIS Geography Intern...