Disability and Leave Management Claims Specialist (Disability Claims Experience Required) (REMOTE) jobs in United States
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Equitable · 20 hours ago

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

Equitable is a company dedicated to helping clients secure their financial well-being. They are seeking an experienced Claims Specialist to support Disability and Leave Management claims, responsible for delivering exceptional customer service and making informed claim decisions in collaboration with various business partners.

BankingConsultingFinancial Services
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H1B Sponsor Likelynote

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

Qualification

Disability claims experienceDisability lawsAnalytical skillsCustomer service skillsCommunication skillsComputer literacyProblem solvingTime managementTeam collaborationAttention to detail

Required

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

Preferred

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

Benefits

Medical
Dental
Vision
A 401(k) plan
Paid time off

Company

Equitable

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

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
Represents job field similar to this job
Trends of Total Sponsorships
2025 (31)
2024 (18)
2023 (26)
2022 (37)
2021 (20)
2020 (12)

Funding

Current Stage
Late Stage

Leadership Team

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Mark Pearson
CEO and President
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Vincent Xuan
Head of Life Insurance & CEO of Equitable Financial Bermuda Re
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Company data provided by crunchbase