Nurse Reviewer

Description and Requirements
Job Description

• Reviews assigned cases or escalated cases, to determine if Life or Disability insurance should be approved.
• Compiles, reviews, records, and analyzes data to make underwriting decisions.
• Examines and processes Statement of Health Applications; determines whether to return, put on pending, deny, approve or request additional medical information.
• Follows established Statement of Health policies and practices to resolve issues.
• Must be able to work well within a team of 15-20 during non-peak, and a team of 30-40 during peak season.
• Ability to multi-task; processing applications, answering phones, and helping people on the team with questions.
• Interpersonal communication skills must be strong.
• Written communications must be professional.
• Participate or lead smaller-scale projects within team.
• Review and update documentation and work instructions.
• Assist in training and mentoring with temporary nurse staff.
• Performs other related duties as assigned or required.

Required Education & Qualifications

• High school Diploma
• Licensed Practical Nurse with current state license
• Ability to put the team first.
• In order to post for this position, you need the proper work authorization to work in the country where the position is located and not require relocation assistance

Preferred Qualifications

• 2-5 years of Insurance claims or underwriting experience
• Associate's or Bachelor's degree

Benefits We Offer
Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more!
About MetLife
Recognized on Fortune magazine's list of the 2023 "World's Most Admired Companies" as well as the 2023 Fortune 100 Best Companies to Work For ®, 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!
Equal Employment Opportunity/Disability/Veterans
If you need an accommodation due to a disability, please email us at [email protected]. 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.