[Remote] Disability and Leave Management Claims Specialist (Disability Claims Experience Required) (REMOTE)

Note: The job is a remote job and is open to candidates in USA. 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, focusing on providing exceptional customer service and making informed claim decisions. 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 Skills - 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 - 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 Overview - Equitable provides consulting services to secure the financial well-being and retirement strategies for individuals and families. It was founded in 1859, and is headquartered in New York, New York, USA, with a workforce of 5001-10000 employees. Its website is https://equitable.com/.