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Equitable

At Equitable, we believe work should be a place where you feel supported, inspired, and empowered to grow. In our caring and collaborative environment, your curiosity is encouraged, your passion is recognized, and your contributions truly matter. Together, we create meaningful impact, for our clients, our communities, and each other. Our culture is built on care, passion and curiosity. We put people above all else, strive to be our best and welcome new ideas to deliver positive outcomes.

Disability and Leave Management Claims Specialist

Claims SpecialistClaims SpecialistFull TimeRemoteJuniorTeam 5,001-10,000H1B SponsorCompany SiteLinkedIn

Location

New York + 1 moreAll locations: New York | North Carolina

Posted

4 days ago

Salary

$50K - $60K / year

Seniority

Junior

Bachelor Degree1 yr expEnglish

Job Description

Disability and Leave Management Claims Specialist

Equitable

• 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

Job 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

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