Basic Function
The primary function of the Nurse Reviewer is to evaluate Statement of Health applications for Life coverages for Group customer. Also determine the need for additional medical information and decision making regarding the insurability of an applicant based on MetLife’s Medical Underwriting Guidelines. Provide guidance to SOH Reviewer 1 & 2 on need basis.
The key deliverables of the role will include but will not be restricted to the details below:
- Review customer Statement of Health form and make decisions regarding approval, denial, the need for further investigation in the form of medical records or exams
- Understand the US medical underwriting guidelines and navigate for relevant actions to be taken while initiating the final decision basis received medical records from physician (APSQ and APS)
- Review medical condition report (Paramed & Exam- Blood & Urine Report) and validate the suggested medical treatment/medication
- Understand the conditions for the prescribed medicines by physician
- Identify and obtain missing information required to process approve & decline condition
- Review Statement of Health procedures by using the defined SOP
- Adhere to agreed timelines and SLA’s
Knowledge, Skills and Abilities
Knowledge and skills (general and technical)
Other Requirements (licenses, certifications, specialized training – if required)
Internal Contacts
(And purpose of relationship):
External Contacts
(And purpose of relationship) – If Applicable
Recognized on Fortune magazine's list of the "World's Most Admired Companies" and Fortune World’s 25 Best Workplaces™, 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.
As part of our New Frontier strategy, MetLife is building an AI-enabled, people-centered future. We’re looking for people who bring curiosity, adaptability, and a growth mindset as we use AI to enhance how we serve customers, support communities, and evolve the way work gets done. At MetLife, AI is a responsible partner that supports human judgment, creativity, and continuous improvement while helping us build trust, inclusion, and long-term value.
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 our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we’re inspired to transform the next century in financial services. At MetLife, it’s #AllTogetherPossible. Join us!
