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MetLife

Nurse Reviewer

Posted 39 Minutes Ago
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Remote or Hybrid
Hiring Remotely in United States
54K-72K Annually
Junior
Remote or Hybrid
Hiring Remotely in United States
54K-72K Annually
Junior
Reviews medical insurance applications for group life and disability coverage, researches medical conditions and medications, orders additional medical documentation, and applies underwriting guidelines to approve, deny, or pend cases. Maintains quality and consistency across cases while communicating clearly, using multiple systems, incorporating feedback, and applying clinical expertise to business underwriting decisions.
The summary above was generated by AI
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 $54,200 - $72,300. 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.
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, paid time off, paid holidays, volunteer time off, tuition assistance and much more! For more information regarding MetLife's U.S. benefits, please click here .
About MetLife
Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces™, as well as the 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.
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!
MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
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.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.
This posting is for a current vacancy and is anticipated to remain open for at least 90 days from the listed posting date.

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