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: 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 and 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 issues 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 Registered Nurse will accept associate degree or higher with current RN state license with experience in Psychiatric setting. BSN Preferred Or Master's Degree in Health Counseling 2+ years of experience in inpatient or intensive outpatient or outpatient therapy in a clinical setting background in Mental Health or Substance Abuse Preferred Licensure in Clinical Psychology or Social Work 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 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.