Employee Benefits Claims Team Leader (HYBRID OR REMOTE)

About The Role

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 an experienced Employee Benefits Claims Team Leader, Claims Support to join our Disability and Absence Claims organization. This role will play a critical part in managing claims, fostering client relationships, and ensuring exceptional service delivery for one of our claim teams. Claims support will oversee internal team members who are designated/dedicated to specific customer groups that are high touch. They work with internal partners to clarify and interpret policy information. They will be required to be customer-facing and take the lead on relationships with high profile customers.

Responsibilities

• Claims Management: Oversees the end-to-end claims process for disability and/or leave of absence products. Ensures claims are processed accurately within regulatory and company guidelines.
• Liaison for Internal Partners: Collaborate closely with distribution and other internal partners to ensure client needs are met. Provide clarification on policy interpretation, assist with amendment requests and help resolve claim escalations.
• Client Relationships: Fosters strong relationships with clients to understand their needs and ensure high levels of satisfaction. Addresses and resolves any client issues or concerns promptly.
• Team Leadership: Builds and leads high-performing internal claims teams. Provide coaching, mentorship, and development opportunities for team members. Sets performance goals for the teams.
• Compliance: Ensures all claims processes comply with relevant laws and regulations. Stays current regarding updated changes in legislation and adjusts processes accordingly.
• Stakeholder Management: Collaborates with internal departments, external partners, and other key stakeholders to execute a market-leading claims management experience.
• Mentoring, Coaching and Support: This role will provide coaching and mentoring to the claims examiners as well as take referral tasks for complex items that require more tenured resources to administer (e.g., amendments, account management related actions, systems issues).

Required Qualifications

• Bachelor’s degree or equivalent professional work experience
• 5+ years of client facing experience in Employee Benefits / Group Insurance Claims organization
• 3+ years of people leadership experience with excellent team management abilities

Preferred Qualifications

• Strong understanding of technology and industry trends
• Excellent client relationship management skills
• Strong verbal, written communication, and presentation skills
• Comfortable dealing with complexity and ambiguity and able to explore multiple solutions
• Previous experience with FINEOS Claims software platform highly desired
• Previous experience with Salesforce platform a plus