Unit Manager - Operations

Metlife

15 - 20 years

17 - 19 Lacs

noida

Posted:-1 days ago| Platform:

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Skills Required

training interpersonal skills claims analytical consulting unit manager operations healthcare medical records management data entry

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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