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Nurse Consultant I - LTD - 10/29/09

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Nurse Consultant I - LTD - 10/29/09
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 Company Name:

    MetLife
 Job Title:

    Nurse Consultant I - LTD
 Job Type:

    Health Care / Medical / Nurse
 Job Reference Code:

    18312
 Company Website:

    Visit This Company's Website and Learn More About This Job
 Job Location:

    Mount Prospect, IL

 Job Description

Job Summary: Investigates 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. Performs other related duties as assigned or required.


 Job Requirements

*5 plus years insurance claims experience needed
*Excellent oral and written communication skills
*Ability to multi task in a fast paced environment
*Attention to detail and strong organizational skills required
*Must possess excellent analytical decision making skills
*Proficient in multiple systems and technology resources
*Ability to work independently but also as a team
*Current RN licensure necessary

MetLife is proud to be an equal opportunity/affirmative action employer. We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce.


 Job Status:

    perm

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