Nurse Reviewer

  • Company: MetLife
  • Location: Oriskany, New York
  • Posted: January 20, 2017
  • Reference ID: 38622-en_US

Job Location: [[Oriskany, NY]]:



Global Operations (Global Ops) focuses on creating positive experiences for MetLife customers and helping the company make the best use of its global resources. We’re looking for unique talent with fresh perspectives that can propel innovation. In this role you will investigates life insurance claims and makes determination on claims settlement within authorized guidelines



  • Reviews assigned cases or escalated cases, to determine if Life or Disability insurance should be approved.
  • Compiles, reviews, records, and analyzes data to make underwriting decisions.
  • Examines and processes Statement of Health Applications; determines whether to return, put on pending, deny, approve or request additional medical information.
  • Follows established Statement of Health policies and practices to resolve issues.
  • Must be able to work well within a team of 15-20 during non-peak, and a team of 40-60 during peak season.
  • Ability to multi-task; processing applications, answering phones, and helping people on the team with questions.
  • Interpersonal communication skills must be strong.
  • Written communications must be professional.
  • Participate or lead smaller-scale projects within team.
  • Review and update documentation and work instructions.
  • Assist in training and mentoring with temporary nurse staff.
  • Performs other related duties as assigned or required.



  • High School Diploma with Licensed Practical Nurse with current state license required
  • Ability to put the team first.
  • 2-5 years of Insurance claims experience
  • Nursing Degree with current RN state license preferred




Global Technology and Operations






MetLife is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MetLife's policy to ensure equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

MetLife maintains a drug-free workplace.

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Requisition #: 38622 

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