Locations: Oriskany, NY, Tampa, FL, Cary, NC, Aurora, IL, Bloomfield, CT, primarily virtual role, with in-person collaboration days. Must be within a commutable distance of the Oriskany, NY, Tampa, FL, Cary, NC, Aurora, IL, Bloomfield, CT, office location Key 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 plan. * 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 Essential Business Experience and Technical Skills: Required * Must be within a commutable distance of the Oriskany, NY, Tampa, FL, Cary, NC, Aurora, IL, Bloomfield, CT, office location * Moderate knowledge of computer systems. Microsoft, Teams, OneNote * Strong written/verbal communication. * Current RN licensure * 4+ years of experience as an RN Preferred * BSN * 7+ years of Disability claims and/or clinical experience. * Disability claims experience * Preferred designations CCM (certified case management) and/or CDMS (certified disability management specialist). * Possess strong knowledge of medical conditions, symptoms, and terminology. Equal Employment Opportunity/Disability/Veterans If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace.