Group Life Claims Examiner (Remote)

Equitable; Charlotte (NC); Remote; USD 50,000 - 60,000; Full time

Job summary

A financial services organization is seeking a Group Life Claims Examiner for a remote position to manage Life claims and ensure compliance with guidelines. The role requires excellent customer service skills and 2+ years of relevant experience. Responsibilities include case management, fostering customer relationships, and ensuring accurate claim processing. This full-time position offers a salary range of $50,000 - $60,000 and a comprehensive benefits package.

Benefits

Medical benefits

Dental benefits

Vision benefits

401(k) plan

Paid time off

Qualifications

• 2+ years prior experience managing Life claim products.
• Strong verbal, written communication, and presentation skills.
• Ability to handle sensitive information with confidentiality.

Responsibilities

• Manage case of Life claims ensuring accuracy and compliance.
• Foster strong customer relationships and resolve issues promptly.
• Gain understanding of claim systems, policies, and regulatory requirements.

Skills

Analytical Thinking

Customer Support Operations

Customer Support Systems

Managing Multiple Priorities

Problem Solving

Tools

FINEOS Claims software

PC-based programs (Excel, Word)

Job description

Overview

Equitable is seeking an influential and dynamic Group Life Claims Examiner (Remote) to join our Group Life Claims organization. The Claims Examiner is responsible for providing excellent customer service, utilizing judgment and risk assessment to render claim decisions in collaboration with business partners.

Responsibilities

• Claims Management: Active case management of Life claims; ensuring claims are processed accurately within regulatory and company guidelines; delivering an exceptional customer experience; reviewing and interpreting medical records; completing financial calculations specific to claims when applicable; gaining understanding of Equitable claim systems, policies, procedures, contracts, and regulatory requirements; applying contract/policy provisions to determine eligibility and liability; demonstrating analytical and critical thinking skills.
• Client and Customer Relationships: Foster strong relationships with customers to understand needs and ensure high levels of satisfaction; address and resolve customer challenges promptly; communicate via telephone, email, and text with employees, employers, attorneys, and others; pay claims accurately and timely; respond to inquiries and maintain service standards; work in a fast-paced environment with tight deadlines; balance multiple priorities; work independently and as part of a team.

Salary and benefits: The base salary range for this position is $50,000 - $60,000. 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 opportunities. Eligibility depends on level and responsibilities.

For eligible employees, Equitable provides a full range of benefits, including medical, dental, vision, a 401(k) plan, and paid time off. For detailed descriptions, reference the link below.

Equitable Pay and Benefits: Equitable Total Rewards Program

Required Qualifications

• 2+ 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.

Preferred Qualifications

• Previous experience with FINEOS Claims software platform highly desired.
• Exceptional customer service skills; proven skills in positive and effective interaction with challenging customers.
• Strong knowledge of regulatory requirements for Life claims.
• Ability to handle sensitive information with confidentiality and professionalism.
• Strong 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, risk management, and sound judgment.
• Ability to adapt, problem solve quickly and communicate effective solutions.
• High level of flexibility to adapt to changing needs of the organization.
• Self-motivated and independent with proven ability to work effectively on a team in a highly collaborative environment.
• Continuous improvement mindset.
• A commitment to support a work environment that fosters diversity and inclusion.
• Strong computer literacy and ability to work with multiple systems; proficiency with PC-based programs such as Excel and Word.
• Reliability and dependability through our training program.

Skills

• Analytical Thinking: Knowledge of techniques and tools that promote effective analysis; ability to determine root causes and create solutions.
• Customer Support Operations: Knowledge of customer support techniques and practices; ability to manage a call center.
• Customer Support Systems: Knowledge of customer support principles and applications environment.
• Managing Multiple Priorities: Knowledge of self-management practices; ability to manage multiple objectives, projects, or activities with prioritization.
• Problem Solving: Knowledge of approaches and tools to recognize and resolve problems; ability to apply problem solving 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.

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.

NOTE: Equitable participates in the E-Verify program.

If reasonable accommodation is needed to participate in the job application or interview process or to perform the essential job functions of this position, please contact Human Resources at [phone] or email us at [e-mail].

Primary Location

UNITED STATES-Remote

Other Locations

UNITED STATES-NY-New York, UNITED STATES-NC-Charlotte, UNITED STATES-NY-Syracuse

Organization

Equitable

Schedule

Full-time

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Finance and Sales