Statement of Health Reviewer II

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 Statement of Health Reviewer II is responsible for the review, research and evaluation of pending Statement of Health submissions across the United States. This is an exciting opportunity to make a meaningful impact on member benefit outcomes by ensuring accurate, high-quality reviews while collaboration with a team dedicated to excellence and continuous improvement.

Key Responsibilities

Accurately evaluate and process SOH/EOI submissions in accordance with underwriting guidelines, customer provisions, and compliance requirements to assess insurable risk and determine appropriate case outcomes based on the information provided. Identify, resolve or escalate processing discrepancies and potential security risks. Provide professional support to customers, account representatives, and internal partners through written and verbal communication.

Actively manage assigned work queues, performance guarantees, and customer specific SLAs to ensure timely service delivery. Provide professional phone support and issue resolution while meeting established call quality and customer service expectations.

Required Qualifications

High School Diploma or GED required, with 2-5 years of relevant business experience preferred. Strong analytical skills and sound judgment in reviewing and evaluating Statement of Health submissions. Excellent written and verbal communication skills, with the ability to prioritize work and manage multiple responsibilities in a fast-paced environment. Strong organizational skills, attention to detail, and ability to maintain accurate documentation and records.

Proficiency in Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint) and the ability to leverage approved AI tools to improve efficiency, support routine tasks, and organize information.

Preferred Qualifications

Curiosity and adaptability in adopting emerging technologies, including generative AI tools, streamline workflows, improve operational efficiency, and enhance reviewer experience. Demonstrate ability to review and assess complex Statement of Health cases with a high degree of accuracy, critical thinking, and sound decision-making. The expected salary range for this position is $41 ,600 - $52,500 . This role may also be eligible for annual short-term incentive compensation.

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