Specialist

The primary function of the Nurse Reviewer is to evaluate Statement of Health applications for Life coverages for Group customers. Your main responsibilities will include making decisions regarding approval, denial, or the need for further investigation based on MetLife's Medical Underwriting Guidelines. Additionally, you will provide guidance to SOH Reviewer 1 & 2 when necessary. Key deliverables of this role will include: - Reviewing customer Statement of Health forms and making decisions on approval, denial, or further investigation through medical records or exams - Understanding US medical underwriting guidelines and taking relevant actions based on received medical records - Reviewing medical condition reports and validating suggested medical treatment/medication - Understanding prescribed medicines by physicians and conditions associated with them - Identifying and obtaining missing information required for processing approval or decline - Following the defined SOP for Statement of Health procedures - Adhering to agreed timelines and SLAs MetLife, recognized on Fortune magazine's list of the "World's Most Admired Companies" and Fortune Worlds 25 Best Workplaces, is a leading financial services company providing insurance, annuities, employee benefits, and asset management globally. With operations in over 40 markets, MetLife aims to create a more confident future for colleagues, customers, communities, and the world. Join MetLife and be part of the #AllTogetherPossible movement.,