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Nurse Reviewer
MetLife
Oriskany, NY, United States
Job Details - this job has expired, please see similar jobs below
Role Value Proposition:
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
Key Responsibilities:
• 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.
Essential Business Experience and Technical Skills:
Required:
• High School Diploma with Licensed Practical Nurse with current state license
• Ability to put the team first.
Preferred:
• 2-5 years of Insurance claims experience preferred
• Nursing Degree with current RN state license preferred
Travel
0-5%
Business Category
Global Technology and Operations
Number of Openings
1
At MetLife, we’re leading the global transformation of an industry we’ve long defined. United in purpose, diverse in perspective, we’re dedicated to making a difference in the lives of our customers.”
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.
For immediate consideration, click the Apply Now button. You will be directed to complete an on-line profile. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.
Requisition #: 98932