Job Description

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for MetLife. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice.

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

Required

Essential Business Experience and Technical Skills:

• 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.

If you have questions about this posting, please contact support@lensa.com

Job Tags

Part time, Work at office, Flexible hours, Shift work,

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