Job Description
Position Summary
Basic Function
The primary function of the Nurse Reviewer is to evaluate Statement of Health applications for Life coverages for Group customer. Also determine the need for additional medical information and decision making regarding the insurability of an applicant based on MetLife’s Medical Underwriting Guidelines. Provide guidance to SOH Reviewer 1 & 2 on need basis.
The key deliverables of the role will include but will not be restricted to the details below:
• Review customer Statement of Health form and make decisions regarding approval, denial, the need for further investigation in the form of medical records or exams
• Understand the US medical underwriting guidelines and navigate for relevant actions to be taken while initiating the final decision basis received medical records from physician (APSQ and APS)
• Review medical condition report (Paramed & Exam- Blood & Urine Report) and validate the suggested medical treatment/medication
• Understand the conditions for the prescribed medicines by physician
• Identify and obtain missing information required to process approve & decline condition
• Review Statement of Health procedures by using the defined SOP
• Ensure that the allocated reports/certification requests are completed within recommended timelines and accuracy thresholdsAdhere to agreed timelines and SLA’s
Knowledge, Skills and Abilities
Education
• Graduation or Diploma in Bio-Sciences (Bachelor in Pharmacy, Degree in Biotechnology, Degree in Biochemistry / Microbiology / Nursing, Diploma in Pharmacy)
Experience
• Professional with 3-4 years of work experience in BPO industry preferably under medical transcription and medical summarization for US Insurance
Knowledge and skills (general and technical)
• Excellent Knowledge of Medical Terminology & medicines
• Computer navigation skills
• Basic knowledge of MS Office
• Keyboarding and data entry speed (minimum 30 wpm with +0% accuracy)
• Exposure to multiple mainframe and web systems
• Good analytical skills with an ability to research & take decision to resolve problems in underwriting
• Knowledge of Insurance principles in relation to the US Insurance industry
• Knowledge about US Culture
• Strong organizational skills
• Good communication skills both written & Verbal
• Demonstrate ability to work independently and in a team environment
• Self-disciplined and results oriented
• Ability to multitask
• English language skill – should be able to read, comprehend and write correctly
• Must be opened to working in shifts
MetLife:
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 help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 countries and holds leading market positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.
We are ranked #44 on the Fortune 500 list for 2026. In 2026, we were named to the Dow Jones Sustainability Index (DJSI) for the fourth year in a row. DJSI is a global index to track the leading sustainability-driven companies.
MetLife is committed to building a purpose-driven and inclusive culture that energizes our people. Our employees work every day to help build a more confident future for people around the world.
MetLife is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at MetLife without regards to race, color, religion, *** (including pregnancy, childbirth, or related medical conditions), ****** 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
Basic Function
The primary function of the Nurse Reviewer is to evaluate Statement of Health applications for Life coverages for Group customer. Also determine the need for additional medical information and decision making regarding the insurability of an applicant based on MetLife’s Medical Underwriting Guidelines. Provide guidance to SOH Reviewer 1 & 2 on need basis.
The key deliverables of the role will include but will not be restricted to the details below:
• Review customer Statement of Health form and make decisions regarding approval, denial, the need for further investigation in the form of medical records or exams
• Understand the US medical underwriting guidelines and navigate for relevant actions to be taken while initiating the final decision basis received medical records from physician (APSQ and APS)
• Review medical condition report (Paramed & Exam- Blood & Urine Report) and validate the suggested medical treatment/medication
• Understand the conditions for the prescribed medicines by physician
• Identify and obtain missing information required to process approve & decline condition
• Review Statement of Health procedures by using the defined SOP
• Ensure that the allocated reports/certification requests are completed within recommended timelines and accuracy thresholdsAdhere to agreed timelines and SLA’s
Knowledge, Skills and Abilities
Education
• Graduation or Diploma in Bio-Sciences (Bachelor in Pharmacy, Degree in Biotechnology, Degree in Biochemistry / Microbiology / Nursing, Diploma in Pharmacy)
Experience
• Professional with 3-4 years of work experience in BPO industry preferably under medical transcription and medical summarization for US Insurance
Knowledge and skills (general and technical)
• Excellent Knowledge of Medical Terminology & medicines
• Computer navigation skills
• Basic knowledge of MS Office
• Keyboarding and data entry speed (minimum 30 wpm with +0% accuracy)
• Exposure to multiple mainframe and web systems
• Good analytical skills with an ability to research & take decision to resolve problems in underwriting
• Knowledge of Insurance principles in relation to the US Insurance industry
• Knowledge about US Culture
• Strong organizational skills
• Good communication skills both written & Verbal
• Demonstrate ability to work independently and in a team environment
• Self-disciplined and results oriented
• Ability to multitask
• English language skill – should be able to read, comprehend and write correctly
• Must be opened to working in shifts
MetLife:
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 help its individual and institutional customers navigate their changing world. Founded in 1868, MetLife has operations in more than 40 countries and holds leading market positions in the United States, Japan, Latin America, Asia, Europe and the Middle East.
We are ranked #44 on the Fortune 500 list for 2026. In 2026, we were named to the Dow Jones Sustainability Index (DJSI) for the fourth year in a row. DJSI is a global index to track the leading sustainability-driven companies.
MetLife is committed to building a purpose-driven and inclusive culture that energizes our people. Our employees work every day to help build a more confident future for people around the world.
MetLife is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at MetLife without regards to race, color, religion, *** (including pregnancy, childbirth, or related medical conditions), ****** 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
💡 Quick Summary
Seeking a career-building opportunity? The Specialist position is now open for candidates interested in the MIS Executive sector. This role in Jaipur offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in MIS Executive is a plus.
