Senior Manager - Operations

Requirements

Description and Requirements

• 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 actingas 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

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!