MetLife Psych Clinical Specialist in Oriskany, New York

Job Location: Oriskany, NY Alternate Job Location:

Role Value Proposition:

Global Operations (Global Ops) focuses on creating positive experiences for MetLife customers and helping the company make the best use of its global resources. We’re looking for unique talent with fresh perspectives that can propel innovation. In this role you will investigate disability claims and makes determination on claims settlement within authorized guidelines

Key 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

  • Travel to customer sites for business meetings occasionally

  • Performs other related duties as assigned or required.

Essential Business Experience and Technical Skills:

Required

  • Master’s Degree in Clinical Psychology or Social Work or related field, license preferred; if Registered Nurse will accept associate degree or higher with current RN state license. BSN Preferred

  • 3+ years of experience in inpatient or intensive outpatient or outpatient therapy in a clinical setting

Preferred

  • Disability insurance or workers compensation case management, private rehabilitation risk management, occupational health, or rehabilitation facility is highly preferred

  • Solid verbal and written communication skills

  • Analytical and critical-thinking skills

  • Deep and broad technical knowledge of medical conditions, prognosis, and treatment

  • Basic understanding of the disability contract, its key provisions, and the implication of those provisions.

  • Ability to give and receive feedback in a nonjudgmental and non-defensive way.

  • Ability to communicate complex concepts and data in a way that can be understood by lay people.

  • Ability to balance quantity and quality.

  • Ability to prioritize.

Ability to influence and, negotiate

Travel

0-5%

Business Category

Global Technology and Operations

Number of Openings

1

At MetLife, we’re leading the global transformation of an industry we’ve long defined. United in purpose, diverse in perspective, we’re dedicated to making a difference in the lives of our customers.”

MetLife is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MetLife's policy to ensure equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

MetLife maintains a drug-free workplace.

For immediate consideration, click the Apply Now button. You will be directed to complete an on-line profile. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.

Requisition #: 67721