Job Description
Note: The job is a remote job and is open to candidates in USA. Equitable is a company dedicated to helping clients secure their financial well-being. They are seeking an experienced Claims Specialist to support Disability and Leave Management claims, focusing on providing exceptional customer service and making informed claim decisions. Responsibilities 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 Skills 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 work effectively on a team and work with others in a highly collaborative team environment Continuous improvement mindset A commitment to support a work environment that fosters diversity and inclusion Proficiency in computer literacy and skills with the ability to work within multiple systems; proficiency with PC based programs such as Excel and Word Benefits Medical Dental Vision A 401(k) plan Paid time off Company Overview Equitable provides consulting services to secure the financial well-being and retirement strategies for individuals and families. It was founded in 1859, and is headquartered in New York, New York, USA, with a workforce of 5001-10000 employees. Its website is