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

Equitable Advisors; City of Syracuse (NY); Remote; USD 50,000 - 60,000; Full time

Job summary

An established industry player is seeking a Disability and Leave Management Claims Specialist to join their dynamic team. This role is pivotal in delivering outstanding customer service and making informed claim decisions. Ideal candidates will possess strong analytical skills and a solid understanding of disability laws. You'll engage with various stakeholders, ensuring timely claims processing while managing multiple priorities in a fast-paced environment. This opportunity not only offers a competitive salary but also a collaborative workplace that values growth and inclusion. If you're ready to make a meaningful impact, this role is for you.

Benefits

Health coverage

401(k) plan

Performance-based incentives

Qualifications

• At least 1 year of disability claims experience required.
• Strong knowledge of disability and leave laws is essential.

Responsibilities

• Deliver exceptional customer service and meet commitments.
• Review and interpret medical records, and perform financial calculations.

Skills

Analytical Thinking

Customer Support Operations

Customer Support Systems

Managing Multiple Priorities

Problem Solving

Education

Bachelor's degree or equivalent experience

Tools

Excel

Word

Job description

Job Description - Disability and Leave Management Claims Specialist (Disability Claims Experience Required) (2500003B)

Primary Location

UNITED STATES-NC-Charlotte

Other Locations

UNITED STATES-Remote, UNITED STATES-NY-Syracuse

Organization

Equitable

Schedule

Full-time

Description

At Equitable, our strength lies in our diverse team. We value different cultures and backgrounds, which enhance our collective strength and community impact. Join us to develop your skills and explore innovative ways of working.

We are seeking an experienced Claims Specialist with expertise in Disability and Leave Management claims to join our team. The role involves providing excellent customer service, assessing risks, and working with various partners to make claim decisions. Reliability and dependability are essential throughout our comprehensive training program.

Key Job Responsibilities

1. Deliver exceptional customer service and meet commitments
2. Communicate via phone, email, and text with employees, employers, attorneys, and others
3. Review and interpret medical records, using appropriate resources
4. Perform financial calculations
5. Understand and apply our claim systems, policies, procedures, contracts, and regulatory requirements
6. Use contract and policy provisions to determine eligibility and liability
7. Apply analytical and critical thinking skills
8. Verify ongoing liability and develop return-to-work strategies
9. Document claim determinations clearly and communicate decisions effectively
10. Utilize resources to make claim decisions
11. Ensure timely and accurate claims processing, maintaining high service standards
12. Manage multiple priorities in a fast-paced environment
13. Work independently and collaboratively

The salary range is $50,000-$60,000, with variations based on experience and location. Additional performance-based incentives and benefits, including health coverage and a 401(k), are provided.

Minimum Qualifications

• Bachelor’s degree or equivalent experience
• At least 1 year of disability claims experience
• Positive and effective communication skills with challenging customers
• Strong knowledge of disability and leave laws
• Ability to handle sensitive information professionally

Preferred Qualifications

• Experience with Group Disability Claims
• Excellent communication and organizational skills
• Ability to multitask and adapt to changing priorities
• Detail-oriented with research skills
• Analytical and math skills
• Critical thinking and risk management abilities
• Flexible, self-motivated, and team-oriented
• Proficiency in computer systems, especially Excel and Word

Skills

• Analytical Thinking: Ability to analyze and resolve organizational problems
• Customer Support Operations: Knowledge of customer service techniques and tools
• Customer Support Systems: Proficiency in customer support applications and hardware
• Managing Multiple Priorities: Effective self-management and prioritization skills
• Problem Solving: Ability to recognize and resolve operational issues

About Equitable

We are committed to helping clients secure their financial future and foster a culture of leadership and inclusion. We invest in our employees through growth opportunities, benefits, and a collaborative environment. Join us to make a meaningful impact.

Equitable provides equal employment opportunities and participates in E-Verify. For accommodations during the application process, contact Human Resources at [phone] or [e-mail].