All jobs

Employee Benefits Claims Training Policies & Procedures Specialist (HYBRID OR REMOTE)

100% Remote Full-time Open now

About the Role

At Equitable, we help clients secure their financial well-being so they can pursue long and fulfilling lives- a mission we've honed since 1859. Equitable is seeking an influential and dynamic Employee Benefits Claims Training Policies & Procedures Specialist to join our Group Disability and Absence Claims organization. This role will play a critical part in overseeing the design, development, and delivery of Group Claims Procedures (SOPs/job aids), Correspondence and Training programs. What You'll Be Doing

  • Training Program Innovation: Design and implement innovative training programs using the latest educational technologies. Evaluate training effectiveness through assessments and feedback. Adapt training materials to meet the evolving needs of the organization and regulatory changes.
  • Process Optimization: Develop claims process workflows to reduce inefficiencies. Implement process improvements to enhance productivity and accuracy. Collaborate with cross-functional teams to streamline operations and improve processing times.
  • Knowledge Management: Establish quality assurance protocols for all training materials and SOPs. Conduct regular audits to ensure adherence to quality standards. Develop corrective action plans to address any identified deficiencies.
  • Technology Integration: Lead the integration of new technologies into existing claims processes. Ensure seamless adoption of digital tools by providing comprehensive training and support. Monitor technology performance and user feedback to make necessary adjustments.
  • Compliance: Create and maintain a correspondence library, policies and procedures. Create and maintain new hire and ongoing training across products where needed. Work closely with internal partners to ensure all claims processes comply with regulatory requirements and internal policies.
  • Performs other duties as assigned.

This position offers a flexible work schedule: it may be fully remote/hybrid. If you are located near one of our offices (e.g., Charlotte, NC; New York, NY; Syracuse, NY), a hybrid schedule with 2-3 days on-site per week is expected to foster collaboration and connection. 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

Qualifications

What You Will Bring

Required Qualifications

  • 3+ years of work experience in Group Insurance claims industry
  • 3+ years experience with Group Insurance claims process management, policies/procedures, and/or training program development/delivery
  • Experience in training delivery, process improvement, and knowledge management
  • Exceptional knowledge of insurance industry regulations, policies and procedures
  • Detail-oriented with strong organizational skills and an ability to manage and execute simultaneous projects and tasks.
  • Demonstrated success in leading large-scale change management initiatives
  • Ability to travel based on business need (up to 25%)

Preferred Qualifications

  • Bachelor's degree
  • Strong understanding of technology and industry trends
  • 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

Skills Claims Management: Proficient in deploying strategies and techniques to ensure claims processing meets the highest standards of accuracy, compliance, and efficiency. Effective Communication: Strong interpersonal abilities, clear communication skills, team orientation and the desire and ability to work with business partners across the organization in a matrixed environment. Proven ability to effectively manage relationships with both internal and external partners. Leadership: Inspirational leader who inspires and creates followership. 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. Strategic Partner: Demonstrates an ability to think strategically and balance short-term and long-term needs. 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. Click Careers at Equitable to learn more. 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 [email protected]. Apply tot his job Apply To this Job

You might also like

Business Intelligence Developer - Remote - Ability to obtain Public Trust Technology Systems

100% Remote Full-time

Power BI Developer-Hybrid/Remote Moncton

100% Remote Full-time

Data Analyst; Remote Security Clearance

100% Remote Full-time

Harris Companies BIM Technologist I - Remote/Part-Time/Temporary in St Paul, Minnesota

100% Remote Full-time

Data Engineer - Next Generation Big Data

100% Remote Full-time

Data Architect Onsite and Partial Telework

100% Remote Full-time

BIM Specialist/Electrical

100% Remote Full-time

Sr Data Engineer - Remote

100% Remote Full-time

[Hiring] Bioinformatics Scientist @Join Our Team

100% Remote Full-time

Director/Sr Director Strategic Solutions Lead (Biotech) -US, Remote

100% Remote Full-time

Experienced Customer Support Manager - Shaping the Future of Crypto Education at blithequark

100% Remote Full-time

Experienced Work From Home Customer Service Representative – Home Improvement Retailer

100% Remote Full-time

Experienced Customer Service Representative – Remote Opportunity with arenaflex

100% Remote Full-time

Join Today: Patient Recruitment Associate - Entry Level

100% Remote Full-time

Experienced Data Entry Specialist – Remote Opportunity with arenaflex

100% Remote Full-time

Caregiver

100% Remote Full-time

Senior Software Engineer - TLV

100% Remote Full-time

Social Community Manager (Contract)

100% Remote Full-time

Experienced Remote Data Entry Specialist – Data Management and Quality Control

100% Remote Full-time

Experienced Data Entry Clerk – Entry Level Remote Position with Flexible Scheduling and Opportunities for Growth at blithequark

100% Remote Full-time