Equitable
Quality Review Specialist- Group Life Insurance (Group Insurance Claims Experien
Equitable, Charlotte, North Carolina, United States, 28245
Quality Review Specialist - Group Life Insurance (Group Insurance Claims Experience Required)
At Equitable, our power is in our people. We are committed to building a diverse team that empowers each member to thrive and contribute to our shared success.
Key Job Responsibilities
Quality Assurance
Conduct thorough reviews of Individual & Group Life claims to ensure compliance with internal, state and regulatory requirements.
Share feedback with a coaching mindset focused on talent development and continuous improvement.
Process Improvement
Collaborate with cross‑functional teams to identify opportunities for improvement in current processes.
Stay updated on changes in insurance regulations and industry best practices.
Partner with teams to develop innovative solutions to elevate outcomes and customer experience.
Program Development
Assist in establishing and building a comprehensive quality program tailored to the needs of our organization.
Technical Expertise
Apply technical knowledge to evaluate and enhance the effectiveness of Life Claims and Waiver programs.
Data Analysis
Analyze data and generate reports to track performance metrics and identify emerging trends or opportunities.
Required Qualifications
Group Life Insurance Claims Experience Required.
Excellent organizational and time‑management skills with the 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 collaborate in a highly collaborative environment.
Continuous improvement mindset.
Preferred Qualifications
Prior experience with Quality Review is beneficial.
Strong analytical skills with excellent attention to detail.
Ability to think creatively and propose innovative solutions for Quality Program development and continuous improvement.
Comfortable dealing with complexity and ambiguity and able to explore multiple solutions.
Previous experience with FINEOS Claims software platform preferred, but not required.
Skills
Claims Management:
Comprehensive understanding of insurance policies, coverage terms, medical classification and claims adjudication procedures.
Effective Communications:
Excellent written and verbal communication to effectively convey information to diverse audiences including legal professionals, policy holders and internal stakeholders.
Information Analysis and Interpretation:
Ability to critically evaluate complex medical records and policy language to provide informed insight on claims management and strategy. Strong analytical and problem‑solving skills. Maintain accurate records of all cases in system of record.
Compensation & Benefits Base salary: $50,000 - $65,000 annually. In addition to base pay, Equitable offers performance‑based rewards including spot bonuses and short‑term incentive opportunities. Eligible employees receive a full range of benefits: medical, dental, vision, 401(k) plan, and paid time off.
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 continually invest in our people through growth opportunities, internal mobility, comprehensive compensation and benefits to support overall well‑being, flexibility, and a culture of collaboration and teamwork.
EEO 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. 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 TalentAcquisition@equitable.com.
Location: United States – Remote (Other Locations: United States – NC – Charlotte; United States – NY – Syracuse)
Schedule: Full‑time
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Key Job Responsibilities
Quality Assurance
Conduct thorough reviews of Individual & Group Life claims to ensure compliance with internal, state and regulatory requirements.
Share feedback with a coaching mindset focused on talent development and continuous improvement.
Process Improvement
Collaborate with cross‑functional teams to identify opportunities for improvement in current processes.
Stay updated on changes in insurance regulations and industry best practices.
Partner with teams to develop innovative solutions to elevate outcomes and customer experience.
Program Development
Assist in establishing and building a comprehensive quality program tailored to the needs of our organization.
Technical Expertise
Apply technical knowledge to evaluate and enhance the effectiveness of Life Claims and Waiver programs.
Data Analysis
Analyze data and generate reports to track performance metrics and identify emerging trends or opportunities.
Required Qualifications
Group Life Insurance Claims Experience Required.
Excellent organizational and time‑management skills with the 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 collaborate in a highly collaborative environment.
Continuous improvement mindset.
Preferred Qualifications
Prior experience with Quality Review is beneficial.
Strong analytical skills with excellent attention to detail.
Ability to think creatively and propose innovative solutions for Quality Program development and continuous improvement.
Comfortable dealing with complexity and ambiguity and able to explore multiple solutions.
Previous experience with FINEOS Claims software platform preferred, but not required.
Skills
Claims Management:
Comprehensive understanding of insurance policies, coverage terms, medical classification and claims adjudication procedures.
Effective Communications:
Excellent written and verbal communication to effectively convey information to diverse audiences including legal professionals, policy holders and internal stakeholders.
Information Analysis and Interpretation:
Ability to critically evaluate complex medical records and policy language to provide informed insight on claims management and strategy. Strong analytical and problem‑solving skills. Maintain accurate records of all cases in system of record.
Compensation & Benefits Base salary: $50,000 - $65,000 annually. In addition to base pay, Equitable offers performance‑based rewards including spot bonuses and short‑term incentive opportunities. Eligible employees receive a full range of benefits: medical, dental, vision, 401(k) plan, and paid time off.
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 continually invest in our people through growth opportunities, internal mobility, comprehensive compensation and benefits to support overall well‑being, flexibility, and a culture of collaboration and teamwork.
EEO 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. 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 TalentAcquisition@equitable.com.
Location: United States – Remote (Other Locations: United States – NC – Charlotte; United States – NY – Syracuse)
Schedule: Full‑time
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