Quality Consultant II - Eligibility Premiums - Group Benefits

Job Location: United States : Delaware : Wilmington

Alternate Job Location: Not Applicable : Not Applicable

Work Arrangement: Hybrid

Role Value Proposition: 

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. We’re united by our purpose to help our customers and each other create a confident future; we’re guided by empathy; and we’re inspired by each other to make a difference in the lives of our coworkers, customers, communities, and the world at large. At MetLife, it’s #AllTogetherPossible. Join us!  

This position reports to the Manager of Quality and Customer Experience. The main responsibilities of this role include quality review for eligibility and premium allocation, process and procedure development, and overall program training and new hire support.

Key Responsibilities:

• Supports Global quality initiatives including auditing eligibility and premium allocation; reviewing error trending for possible training opportunities; reporting metrics; presenting/discussing results; setting metrics to monitor and measure process performance; and training appropriate departments on new or updated policies, procedures, systems, etc.
• Supports development, testing, and training of new eligibility system.
• Documenting new policy and procedures that will support eligibility and premium programs as well as communicating updates to appropriate business partners.
• Open to cross training opportunities including auditing claims, contracts, underwriting, NPS, and customer service (emails and calls).

Essential Business Experience and Technical Skills:
Required

• Working knowledge of the functions, processes, and systems at an international medical company
• Working knowledge of the functions, processes, expertise, and systems needed for eligibility and premium allocation.
• 3-4 years of related work experience

Preferred

• Bachelors degree in related field or equivalent work experience
• Working knowledge of international medical claim processing

Assignment Category

Full Time

Travel

Negligible

Business Category
US Business

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:

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 one of the largest institutional investors in the U.S. with $642.4 billion of total assets under management as of March 31, 2021. We are ranked #46 on the Fortune 500 list for 2021. In 2020, we were named to the Dow Jones Sustainability Index (DJSI) for the fifth year in a row. DJSI is a global index to track the leading sustainability-driven companies. We are proud to have been named to Fortune magazine’s 2021 list of the “World’s Most Admired 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.

We want to make it simple for all interested and qualified candidates to apply for employment opportunities with MetLife.  For further information about how to request a reasonable accommodation, please click on the Disability Accommodations link below.

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, 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.