Job Description 

At Equitable, our power is in our people.  We're individuals from different cultures and backgrounds. Those differences make us stronger as a team and a force for good in our communities. Here, you'll work with dynamic individuals, build your skills, and unleash new ways of working and thinking. Are you ready to join an organization that will help unlock your potential?

Equitable is seeking a detail-oriented and analytical Employee Benefits Claims Financial Services Team Leader to join our team. This role is crucial for managing the financial aspects of group insurance disability claims, ensuring accurate calculation of benefits, and identifying and resolving overpayments. The ideal candidate will have a strong background in insurance, excellent mathematical skills, and a keen eye for detail.

Key Job Responsibilities

• Calculate Benefits: Accurately calculate disability benefits for group insurance claims based on policy terms and conditions.  Ensure compliance with regulatory requirements and company policies while completing calculations.
• Identify Overpayments: Analyze claim data to identify overpayments and determine their causes. Collaborate with claims adjusters and other departments to rectify overpayments.
• Claims Management: Maintain detailed records of all calculations and communications related to claims.
• Communication: Communicate with policy holders, employers and/or internal teams to resolve discrepancies in claim calculations. Provide clear explanations of calculations and overpayment resolutions to impacted parties.
• Leadership: Leads internal resources and oversees the work performed by external partners/vendors.
• Performs other duties as assigned.

The base salary range for this position is $75,000 - $90,000. 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

Required Qualifications

• 2+ years proven experience in group insurance claims processing particularly with disability claims and benefit calculations
• Strong analytical and mathematical skills
• Proficiency in using claims management software and Microsoft Office Suite.
• Excellent communication and interpersonal skills
• Attention to detail and strong organizational skills

Preferred Qualifications

• Bachelor’s degree in finance, accounting, business administration
• Strong understanding of technology and industry trends
• 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 preferred, but not required
• Experience with employee benefits financial calculations, including knowledge of taxation and tax reporting requirements, offsets, adjustments, overpayments, and collections
• Knowledge and experience regarding claims financial vendor relationships

Skills

Claims Management: Proficient in deploying strategies and techniques to ensure claims processing meets the highest standards of accuracy, compliance, and efficiency

Effective Communications: Proficient in effective communication concepts, tools, and techniques. Capable of transmitting, receiving, and accurately interpreting ideas, information, and needs through the application of appropriate communication behaviors. Essential for managing client relationships and team interactions.

Data Analysis and Interpretation: Proficiency in claims data analysis techniques and tools.

Leadership: In-depth knowledge of leadership practices and processes. Skilled in using strategies and techniques to inspire and guide internal claims teams towards achieving both short-term objectives and long-term goals. Ability to maintain a vision for future state improvements and the roadmap to achieve them.

Product and Vendor Oversight: Expertise in product and vendor relationships and oversight. Skilled in building relationships with Business Process Outsourcing (BPO) and claims financial vendors, ensuring alignment with organizational needs and compliance with regulatory standards.
 

ABOUT EQUITABLE

At Equitable, we’re a team of over ten thousand strong; 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.

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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 (212) 314-2211 or email us at TalentAcquisition@equitable.com.

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