Disability and Leave Management Claims Specialist (Disability Claims Experience Required) (REMOTE)

Equitable•Syracuse, NY

3d•$50,000 - $60,000•Remote

About The Position

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.

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
Analytical Thinking: Knowledge of techniques and tools that promote effective analysis; ability to determine the root cause of organizational problems and create alternative solutions that resolve these problems.
Customer Support Operations: Knowledge of customer support techniques, tools, technologies, and best practices; ability to utilize all aspects of customer support operations to manage a call center.
Customer Support Systems: Knowledge of principles and techniques used in customer support and ability to use applications, hardware, software, networking, and the applications environment used for customer support.
Managing Multiple Priorities: Knowledge of effective self-management practices; ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation.
Problem Solving: Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving organizational, operational or process problems; ability to apply knowledge of problem solving appropriately to diverse situations.

Nice To Haves

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

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