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Equitable · 1 day ago

Appeals Specialist- Life and Voluntary Product Claims (REMOTE)

United States

Full-time

Remote

Mid Level

$50K/yr - $65K/yr

3+ years exp

Equitable is seeking an influential and dynamic Appeals Specialist to join our Disability and Absence Claims organization. The specialist will manage and resolve complex insurance claims disputes and regulatory complaints, acting as a liaison between the claims department, legal counsel, and policyholders as necessary.

BankingConsultingFinancial Services

H1B Sponsor Likely

Responsibilities

Handle and resolve complex insurance claims disputes efficiently

Investigate and analyze appeals to determine appropriate resolutions

Facilitate effective communication and resolution of disputes

Review and respond to regulatory complaints

Track and analyze trends for reporting

Ensure compliance with all regulatory standards and internal company policies

Stay updated on changes in insurance regulations and industry best practices

Maintain detailed records of all appeals and complaints

Analyze trends in claims disputes to recommend improvements in processes

Qualification

Insurance Industry ExperienceGroup Insurance ClaimsComplaint HandlingFINEOS Claims SoftwareLegal AcumenInformation AnalysisEffective Communication

Required

3+ years of professional work experience in the insurance industry

Experience with Group Insurance Claims (Life, Short Term Disability, Long Term Disability and/or Paid/Unpaid Leaves)

Previous experience with Department of Insurance Complaint handling

Preferred

Bachelor's degree in Business, Healthcare Administration, or equivalent experience in a related field

Professional work experience in group insurance claims management or appeals

Prior experience with appeals, complaint handling or legal knowledge is beneficial

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 a big plus

Benefits

Medical

Dental

Vision

A 401(k) plan

Paid time off

Company

Equitable

Glassdoor3.6

Equitable provides consulting services to secure the financial well-being and retirement strategies for individuals and families.

Founded in 1859

New York, New York, USA

5001-10000 employees

https://equitable.com/

H1B Sponsorship

Equitable has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2025 (31)

2024 (18)

2023 (26)

2022 (37)

2021 (20)

2020 (12)