The Unit Manager provides medical consulting and advice for claims evaluation, manages complex cases, and engages with stakeholders to develop return-to-work plans and recommendations.
Description and Requirements
Job Responsibilities
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.
goal-focused return-to-work plans.
associates.
functional abilities.
coaching claim specialists on identifying and acting upon return-to-work potential.
limitations and their impact on work functionality. Performs other related duties as assigned or required
Education, Technical Skills & Other Critical Requirement
Education
Bachelor's degree (Medical) or diploma with a minimum of 15 years of education.
About MetLife
Recognized on Fortune magazine's list of the 2025 "World's Most Admired Companies" and Fortune World's 25 Best Workplaces™ for 2024, MetLife , through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.
Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by empathy, we're inspired to transform the next century in financial services.
At MetLife, it's #AllTogetherPossible . Join us!
#BI-Hybrid
Job 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 plans.
- 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
Education, Technical Skills & Other Critical Requirement
Education
Bachelor's degree (Medical) or diploma with a minimum of 15 years of education.
About MetLife
Recognized on Fortune magazine's list of the 2025 "World's Most Admired Companies" and Fortune World's 25 Best Workplaces™ for 2024, MetLife , through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.
Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by empathy, we're inspired to transform the next century in financial services.
At MetLife, it's #AllTogetherPossible . Join us!
#BI-Hybrid
Top Skills
Medical Records
Treatment Plans
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