Sr. Group Life Claims Examiner (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 influential and dynamic Senior Claims Examiner to join our Group Life Claims organization.

What You’ll Be Doing

• Claims Management: Oversees end-to-end claims process. Responsible for active case management of Life claims. Ensures claims are processed accurately within regulatory and company guidelines. Delivers an exceptional customer experience and ensures that customer commitments and deliverables are achieved. Reviews and interprets medical records, utilizing resources as appropriate. Completes complex financial calculations specific to claims when applicable. Gains 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. Applies contract/policy provisions to ensure accurate eligibility and liability decisions.
• Client and Customer Relationships: Foster strong relationships with clients to understand their needs and ensure high levels of satisfaction. Addresses and resolves any customer challenges or concerns promptly. Communicates via telephone, email, and text with employees, employers, attorneys, and others. Provides timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to all inquiries, and maintaining expected service and quality standards. Works within a fast-paced environment, with tight deadlines, and demonstrates the ability to balance multiple priorities. Works independently as well as within a team structure. Assists in training and mentoring junior claim examiners on best practices, improving their decision-making skills. Oversees the ongoing management of complex, high-priority or escalated cases and callers.

Required Qualifications

• 3+ years prior experience managing Life claim products.
• Excellent client relationship management skills.
• Strong verbal, written communication, and presentation skills.
• Comfortable dealing with complexity and ambiguity and able to explore multiple solutions.

Skills

• 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.

About Equitable

At Equitable, we’re a team committed to helping our clients secure their financial well-being so that they can pursue long and fulfilling lives. We turn challenges into opportunities by thinking, working, and leading differently—where everyone is a leader. We encourage every employee to leverage their unique talents to become a force for good at Equitable and in their local communities. We are continuously investing in our people by offering growth, internal mobility, comprehensive compensation and benefits to support overall well-being, flexibility, and a culture of collaboration and teamwork. We are looking for talented, dedicated, purposeful people who want to make an impact. Join Equitable and pursue a career with purpose. Click Careers at Equitable to learn more.

Equitable Pay and Benefits

The base salary range for this position is $60,000 - $68,000. Actual base salaries vary based on skills, experience, and geographical location. In addition to base pay, Equitable provides compensation to reward performance with base salary increases, spot bonuses, and short-term incentive compensation opportunities. Eligibility for these programs depends on level and functional area of responsibility. For eligible employees, Equitable provides a full range of benefits. This includes medical, dental, vision, a 401(k) plan, and paid time off. For detailed descriptions of these benefits, please reference the link below. Equitable Pay and Benefits: Equitable Total Rewards Program

Equal Employment Opportunity

Equitable is committed to providing equal employment opportunities to our employees, applicants and candidates based on individual qualifications, without regard to race, color, religion, gender, gender identity and expression, age, national origin, mental or physical disabilities, sexual orientation, veteran status, genetic information or any other class protected by federal, state and local laws.