Quality Auditor

MetLife, a leading provider of insurance and other financial services to individual and institutional customers, is seeking a Quality Auditor in Mount Prospect, IL! Beyond meaningful and challenging work, MetLife provides a variety of flexible work arrangements, as well as a tuition reimbursement program, competitive benefits, and retirement and pension plans. MetLife’s responsiveness to the needs of both clients and employees is a direct result of one of the core company values– People Count. The Quality Auditor conducts audits to evaluate and provide a review of the quality of a claim file based on Quality Audit guidelines. Audits are performed on all Disability product lines (STD, LTD, and FMLA.) Major Duties and Functions Include: Conduct audits of disability products (LTD, STD, and FMLA) to determine if the claim file management is compliant with MetLife’s established internal processes and procedures Contribute to development of new and updated quality processes for continuous improvement Embrace and promote change initiatives, maintains a positive attitude and responds promptly and calmly to change Maintain a high level of integrity Maintain excellent relationships with customers, and represents QA operations and goals in a positive manner Participate in all operational and departmental partnership efforts What You Need to Succeed: A minimum of 2-years disability claim experience (STD or LTD) Proficiency in Disability claims systems (Intellis, SIR, UIS) Solid business knowledge of current Disability products, in addition to Workers’ Compensation, State laws, ERISA, Tax laws, ADA, Rehabilitation Social Security and Special Investigation processes Proficient in the main product lines and remains current on MetLife disability products, processes & procedures Knowledge of medical procedures and terminology Ability to read, interpret and explain contracts and disability plans Excellent analytical, critical thinking & troubleshooting skills Ability to communicate in concise, accurate & understandable terms Strong organizational & planning skills (maintain accurate, complete and up-to-date files within department standards & guidelines) Ability to manage time & handle multiple activities Maintain positive attitude, respond promptly and calmly to changing events, and conflict resolutions Committed to preserving confidentiality in all aspects of quality assurance activities Flexibility to adapt to change in a dynamic environment Projects an attitude of service, empathy & understanding to all customers Ability to work independently and as a team member Work shouldn’t be something you do just to make ends meet. It should provide satisfaction…and an opportunity to make a difference. MetLife… where work meets life!Do YOU have what it takes to join a Major Force in Financial Services: Investments, Financial Advice, Banking and Insurance? If so respond TODAY! For immediate consideration, please APPLY NOW to submit your resume!MetLife is an Equal Opportunity Employer. Additional Information Position Type:  Full Time, Employee Ref Code:  20144 Number of Openings: 1 Business Area: Institutional Travel paid for interviews? NO Relocation expenses paid? NO Percent of travel on the job: 5-15 Salary Grade: 28 Company Code: Metropolitan Life Insurance Co. View all "MetLife" jobs