Disability and Leave Management Claims Specialist; Disability Claims ; REMOTE

About The Role

At Equitable, we help clients secure their financial well-being so they can pursue long and fulfilling lives – a mission we’ve honed since 1859. Equitable is looking for an experienced Claims Specialist supporting Disability and Leave Management claims to join our team. The Claims Specialist is responsible for providing excellent customer service. You will be expected to utilize judgment and assess risk as you work with various business partners to render claim decisions and partner with internal and external resources.

Reliability and dependability throughout our extensive training program is required.

• Deliver an exceptional customer experience and ensure that customer commitments and deliverables are achieved
• Communicate via telephone, email, and text with employees, employers, attorneys, and others
• Review and interpret medical records, utilizing resources as appropriate
• Complete financial calculations
• Gain an understanding and working knowledge of the Equitable claim and other applicable systems, policies, procedures, and contracts as well as regulatory and statutory requirements for claim adjudication
• Apply contract/policy provisions to ensure accurate eligibility and liability decisions
• Demonstrate and apply analytical and critical thinking skills
• Verify ongoing liability and develop strategies for return-to-work opportunities as appropriate
• Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to customers via oral and written communication
• Leverage a broad spectrum of resources, materials, and tools to render claims decisions
• Provide timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to all inquiries and maintaining expected service and quality standards
• Work within a fast-paced environment, with tight deadlines, and demonstrate the ability to balance multiple priorities
• Work independently as well as within a team structure

This position offers a remote work schedule that allows you to stay fully engaged with your team to provide outstanding, customer-focused service during our core hours (8:30 AM–5:30 PM EST). Periodic office visits may be requested based on business needs.

The base salary range for this position is $50,000-$60,000. Actual base salaries vary based on skills, experience, and geographical location. In addition to base pay, Equitable provides compensation to reward performance with base salary increases, spot bonuses, and short-term incentive compensation opportunities. Eligibility for these programs depends on level and functional area of responsibility.

For eligible employees, Equitable provides a full range of benefits. This includes medical, dental, vision, a 401(k) plan, and paid time off. For detailed descriptions of these benefits, please reference the link below.

Equitable

Pay and Benefits:

Equitable Total Rewards Program

• Bachelor’s degree or equivalent work experience
• 1+ years disability claims experience
• Exceptional customer service skills
• Maintains positive and effective interaction with challenging customers
• Strong knowledge of disability and leave laws and regulations
• Ability to handle sensitive information with confidentiality and professionalism

• Group Disability Claims experience
• Exceptional written and oral communication skills demonstrated in previous work experience
• Excellent organizational and time management skills with ability to multitask and prioritize deadlines
• Ability to manage multiple and changing priorities
• Detail oriented; able to analyze and research contract information
• Demonstrated ability to operate with a sense of urgency
• Experience in effectively meeting/ exceeding individual professional expectations and team goals
• Demonstrated analytical and math skills
• Ability to exercise critical thinking skills, risk management skills and sound judgment
• Ability to adapt, problem solve quickly and communicate effective solutions
• High level of flexibility to adapt to the changing needs of the organization
• Self-motivated, independent with proven ability to…