Nurse Consultant
Location:
Oriskany , New York
Posted:
March 31, 2017
Reference:
38601-en_US

Job Location: United States : Oriskany : New York Alternate Job Location: United States : Tampa : Florida

 

 

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 be responsible for investigating disability claims and makes determination on claims settlement within authorized guidelines.

    

 

  • 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.
  • May provide guidance to junior staff members. 
  • Performs other related duties as assigned or required.

 

  • Bachelor's degree or equivalent business experience.
  • Current Nursing designation.
  • 5+ years of insurance claims experience.

 

Operations : Claims

 

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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.

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 #: 38601 


A little about us:
MetLife offers life insurance, disability income insurance, car insurance, employee benefits and more.

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