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MetLife

Statement of Health Reviewer II

Posted 14 Hours Ago
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Remote or Hybrid
Hiring Remotely in Oriskany, NY
Mid level
Remote or Hybrid
Hiring Remotely in Oriskany, NY
Mid level
Reviews and evaluates Statement of Health submissions using underwriting guidelines, customer provisions, and compliance requirements to assess risk and determine outcomes. Resolves or escalates discrepancies and security risks, manages work queues and service-level commitments, maintains accurate documentation, and provides phone and written support to customers and internal partners. The role requires strong judgment, organization, communication, analytical ability, and proficiency with Microsoft Office and approved AI tools.
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 Statement of Health Reviewer II is responsible for the review, research and evaluation of pending Statement of Health submissions across the United States. This is an exciting opportunity to make a meaningful impact on member benefit outcomes by ensuring accurate, high-quality reviews while collaboration with a team dedicated to excellence and continuous improvement.
Key Responsibilities
  • Accurately evaluate and process SOH/EOI submissions in accordance with underwriting guidelines, customer provisions, and compliance requirements to assess insurable risk and determine appropriate case outcomes based on the information provided.
  • Identify, resolve or escalate processing discrepancies and potential security risks.
  • Provide professional support to customers, account representatives, and internal partners through written and verbal communication.
  • Actively manage assigned work queues, performance guarantees, and customer specific SLAs to ensure timely service delivery.
  • Provide professional phone support and issue resolution while meeting established call quality and customer service expectations.

Required Qualifications
  • High School Diploma or GED required, with 2-5 years of relevant business experience preferred.
  • Strong analytical skills and sound judgment in reviewing and evaluating Statement of Health submissions.
  • Excellent written and verbal communication skills, with the ability to prioritize work and manage multiple responsibilities in a fast-paced environment.
  • Strong organizational skills, attention to detail, and ability to maintain accurate documentation and records.
  • Proficiency in Microsoft Office Suite (Word, Excel, Outlook, and PowerPoint) and the ability to leverage approved AI tools to improve efficiency, support routine tasks, and organize information.

Preferred Qualifications
  • Curiosity and adaptability in adopting emerging technologies, including generative AI tools, streamline workflows, improve operational efficiency, and enhance reviewer experience.
  • Demonstrate ability to review and assess complex Statement of Health cases with a high degree of accuracy, critical thinking, and sound decision-making.

The expected salary range for this position is $41 ,600 - $52,500 . This role may also be eligible for annual short-term incentive compensation. 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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