Disability and Leave Management Claims Specialist

🔥 10 minutes ago

🗽 New York, North Carolina – Remote

🗽 New York – Remote 🌲 North Carolina – Remote

💵 $50k - $60k / year

⏰ Full Time

🟢 Junior

📋 Claims Specialist

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Equitable

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💸 Finance

💳 Fintech

⚕️ Healthcare Insurance

Finance • Fintech • Healthcare Insurance

Equitable is a financial services company with over 160 years of experience, focused on providing individuals and employers with a range of products and solutions for financial planning, retirement planning, and employee benefits. They offer services like life insurance, annuities, and workplace retirement plans, aiming to support clients in achieving their financial well-being and long-term goals. Through their dedicated advisors and online resources, Equitable strives to make financial services accessible and insightful for all its clients.

📋 Description

• Deliver an exceptional customer experience and ensure that customer commitments and deliverables are achieved • Communication 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 on-going 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 our 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

🎯 Requirements

• 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

🏖️ Benefits

• medical • dental • vision • 401(k) plan • paid time off