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Senior Manager - Operations

Senior Manager - Operations

Metlife

13 - 18 years

30 - 35 Lacs

Noida

Posted:1 hour ago| Platform:

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Skills Required

Senior Manager Operations Training Claims Focus Consulting Investigation Healthcare medical records Research Management

Work Mode

Work from Office

Job Type

Full Time

Job Description

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

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Metlife

Insurance and Financial Services

New York

49,000 Employees

226 Jobs

Key People

C. Robert Henrikson

Chairman
Michel A. Khalaf

President and CEO
John D. Fitzpatrick

Executive Vice President and Chief Financial Officer
Maria R. Morris

Executive Vice President, Head of Global Employee Benefits

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