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Nurse Consultant I

Date Posted: Dec 2, 2017

Location: Oriskany, NY, US, 13424

Company: MetLife

Job Location: United States: Oriskany, New York / Tampa, Florida

 

Job Summary:

Global Operations (Global Ops) focuses on creating positive experiences for MetLife customers and helping the company make the best use of its global resources. We’re 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

 

Functional 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
  • Travel to customer sites for business meetings occasionally
  • Performs other related duties as assigned or required.

 

Essential Business Experience and Technical Skills:

  • 2+ years of Clinical Experience required
  • Nursing degree with RN license required
  • Disability claims experience preferred
  • Strong written and verbal communication skills
  • BSN Preferred

 

Business Category

Operations

 

Number of Openings

1

 

At MetLife, we’re leading the global transformation of an industry we’ve long defined. United in purpose, diverse in perspective, we’re 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.

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