Sr. Group Life Claims Examiner (HYBRID or REMOTE)

Sr. Group Life Claims Examiner (HYBRID or REMOTE) (260000BU) 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 Senior Claims Examiner to join our Group Life Claims organization. A Senior Claims Examiner is responsible for providing excellent customer service as well as mentoring and SME to others inside and outside the EB Claims organization. You will be expected to utilize judgment and assess risk as you work with various business partners to render claim decisions. What You’ll Be Doing Oversee end‑to‑end claims process. Responsible for active case management of Life claims and ensure claims are processed accurately within regulatory and company guidelines. Deliver an exceptional customer experience and ensure that customer commitments and deliverables are achieved. Review and interpret medical records, utilizing resources as appropriate. Complete complex financial calculations specific to claims when applicable. 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. Foster strong relationships with clients to understand their needs and ensure high levels of satisfaction. Address and resolve any customer challenges or concerns promptly. Communicate via telephone, email, and text with employees, employers, attorneys, and others. 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. Assist in training and mentoring junior claim examiners on best practices, improving their decision‑making skills. Oversee the ongoing management of complex, high‑priority or escalated cases and callers. Work Schedule & Location This position offers a flexible work schedule: it may be fully remote or 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. Compensation & Benefits Base salary range: $60,000 - $68,000 . 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, including medical, dental, vision, a 401(k) plan, and paid time off. Qualifications 3+ years prior experience managing Life claim products. Excellent client relationship management skills. Strong verbal, written, 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 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. A commitment to support a work environment that fosters diversity and inclusion. Strong computer literacy and skills with the ability to work within multiple systems; proficiency with PC‑based programs such as Excel and Word. Reliability and dependability throughout our extensive training program is crucial. Skills Analytical Thinking: Knowledge of techniques and tools that promote effective analysis; ability to determine the root cause of organizational problems and create alternative solutions that resolve these problems. Customer Support Operations: Knowledge of customer support techniques, tools, technologies, and best practices; ability to utilize all aspects of customer support operations to manage a call center. Customer Support Systems: Knowledge of principles and techniques used in customer support and ability to use applications, hardware, software, networking, and the applications environment used for customer support. Managing Multiple Priorities: Knowledge of effective self‑management practices; ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation. Problem Solving: Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving organizational, operational or process problems; ability to apply knowledge of problem solving appropriately 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. Click Careers at Equitable to learn more. Equal Employment Opportunity Statement 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. Contact 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 View phone number on click.appcast.io or email us at View email address on click.appcast.io . #J-18808-Ljbffr