Life Claims Consultant (HYBRID or REMOTE)

Equitable•Syracuse, NY

3h•$75,000 - $90,000•Hybrid

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 seeking a dynamic resource to join our Employee Benefits Claims organization. The Life Claims Consultant will play a critical part in overseeing our Life claims organization ensuring exceptional service delivery for claimants, clients, and brokers. This position offers a flexible work schedule: it may be fully remote/hybrid. If you are located near one of our offices (e.g., Charlotte, NC; New York, NY; Syracuse, NY), a hybrid schedule with 2–3 days on-site per week is expected to foster collaboration and connection.

Requirements

Bachelor’s degree or equivalent work experience
5+ years experience with Life Insurance Claims
Experience creating, analyzing, and refining dashboards and reporting
Effective Communication: Proficient in effective communication concepts, tools, and techniques. Capable of transmitting, receiving, and accurately interpreting ideas, information, and needs through the application of appropriate communication behaviors.
Problem-Solving Skills: Demonstrates an ability to identify issues within the claims process and develop effective solutions promptly. Uses analytical thinking to assess situations accurately and implement strategies that enhance efficiency and service quality.
Adaptability: Adapts to changing circumstances, such as shifts in regulations or internal processes. Adaptability ensures that the team can maintain high performance and service standards even in dynamic situations.
Attention to Detail: Ensures accuracy in claims processing and reporting. Attention to detail helps in identifying discrepancies or errors in documentation, which is crucial for maintaining compliance and service quality.
Customer Service Orientation: A strong focus on customer service is important for addressing the needs of clients, claimants, and brokers effectively. This skill involves empathy, patience, and the ability to provide clear and helpful responses to inquiries or concerns.

Nice To Haves

Strong verbal and written communication skills
FINEOS experience a plus

Responsibilities

Oversees the end-to-end claims process for Life claims.
Ensures claims are processed within regulatory and company guidelines.
Creates and monitors reporting to ensure timeliness, accuracy, and quality.
Fosters strong relationships with our brokers, and clients to understand their needs and ensure high levels of satisfaction.
Helps address and resolve any customer issues or concerns promptly.
Advanced proficiency in claims data analysis techniques and tools.
Ability to interpret complex data sets to make informed decisions and drive continuous improvement initiatives.
Skilled in using data to identify trends, root causes, and opportunities for enhanced processes.
Ensures all claims processes comply with relevant laws and regulations, leverage internal and external sources.
Stays current regarding updated changes in legislation and adjusts processes accordingly.
Partners with internal departments, external partners, and other key stakeholders to execute a market-leading Life claims experience.
Performs other duties as assigned.