Nurse Reviewer

Job description

Description and Requirements The Team You Will Join Join the nation’s largest non-medical carrier of group insurance, where your work will impact over 55,000 customers and cover more than 50 million employees and family members. As part of MetLife’s Group Benefits team, you’ll deliver innovative benefits solutions - life, disability, dental, vision, and voluntary benefits - tailored to today’s employers and workforces.

Collaborate with customers, brokers, and partners to expand our offerings and reimagine digital experiences. Join us and be part of an organization committed to supporting customers when they need us most. The Opportunity The Nurse Reviewer is responsible for reviewing Statement of Health applications for Group Life and Disability insurance. You will review submitted forms for medical details and order additional medical such as paramedical exams and attending physician statements.

Upon receipt of medical documents, you will review against our underwriting manuals to determine if applications can be approved or declined. This is an exciting opportunity to use your clinical expertise beyond direct patient care, make a meaningful impact on customers' lives, and build a rewarding career with a company dedicated to helping people build more confident futures. This will be a part-time variable position.

Key Responsibilities

Review assigned cases and examine Statement of Health Applications to determine approval, denial, pending status, or need for additional medical information for Group Life and Disability insurance. Independently research and investigate medical details, including conditions and medications, to support sound underwriting decisions. Maintain consistency and quality standards by utilizing job aids, work instructions, and guidance from various supervisory roles within a large team environment.

Demonstrate basic business acumen with strong written and verbal communication skills and proficiency across multiple systems and technology resources. Show willingness to receive feedback, learn, adapt, and take on additional duties as assigned.

Required Qualifications

1-2 years of relevant business experience. Current Licensed Practical Nurse (LPN) Certification. Proficiency with Microsoft Suite (Word, Excel, etc.) Ability to work across multiple computer monitors and programs. Ability to use AI approved tools to support routine tasks such as drafting, summarizing, organizing information, and improving day-to-day efficiency.

Preferred Qualifications

Previous medical underwriting experience with familiarity with utilization forms. Strong clinical assessment and analytical skills with the ability to interpret medical records and apply medical knowledge to business decisions. Demonstrated ability to translate complex medical information into sound, data-driven underwriting recommendations. The expected salary range for this position is $28 per hour. This role may also be eligible for annual short-term incentive compensation and stock-based long-term incentives.

All incentives and benefits are subject to the applicable plan terms.