Claims Quality Assurance Leader, Employee Benefits
Charlotte, North Carolina, United States
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 looking an influential and dynamic Leader to join our team! The Claims Quality Assurance Leader will develop, own, and lead the claims quality assurance program for Equitable's Employee Benefits claims organization. Reporting directly to the Head of Claims, this role is pivotal in ensuring efficient and effective processing of claims, compliance with regulatory standards, and meeting the diverse needs of our clients.
This individual must be able to translate Employee Benefits' "Powerfully Simple" vision into into actionable, quantitative and innovative plans, including leading the design, ideation and build of the Employee Benefit's Claims Quality Program and processes.
Key Job Responsibilities
The base salary range for this position is $87,000 - $150,000. 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
Preferred Qualifications
Skills
Quality Assurance Management: Knowledge of quality assurance management; ability to implement strategies and techniques used to ensure that claims processing meets the highest standards of accuracy and compliance.
Effective Communications: Understanding of effective communication concepts, tools and techniques; ability to effectively transmit, receive, and accurately interpret ideas, information, and needs through the application of appropriate communication behaviors.
Leadership: Knowledge of leadership practices and processes; ability to use strategies and skills to enlist others in setting, embracing and achieving objectives while having a long-term perspective of the future state of things and how to get there.
Planning: Tactical, Strategic: Knowledge of effective planning techniques and ability to contribute to operational (short term), tactical (1-2 years) and strategic (3-5 years) planning in support of the overall business plan.
Product and Vendor Evaluation: Knowledge of product and vendor evaluation; ability to implement processes for the evaluation and selection of products, tools, services and infrastructure components ensuring they are in line with an organization's business needs and architectural principles.
Project Management: Knowledge of effective project management strategies and tactics; ability to plan, organize, monitor, and control projects, ensuring efficient utilization of technical and administrative resources to achieve project objectives.
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.
**********
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 .
#LI-Remote Apply
Equitable is looking an influential and dynamic Leader to join our team! The Claims Quality Assurance Leader will develop, own, and lead the claims quality assurance program for Equitable's Employee Benefits claims organization. Reporting directly to the Head of Claims, this role is pivotal in ensuring efficient and effective processing of claims, compliance with regulatory standards, and meeting the diverse needs of our clients.
This individual must be able to translate Employee Benefits' "Powerfully Simple" vision into into actionable, quantitative and innovative plans, including leading the design, ideation and build of the Employee Benefit's Claims Quality Program and processes.
Key Job Responsibilities
- Strategy: Create and execute on Employee Benefit's claims quality assurance strategy, including both the ideation and implementation the organization's quality program.
- Implementation: Ensure the timely deployment of technology and processes in support of both the initial build of quality assurance program and ongoing enhancements.
- Quality Assurance: Oversee the quality assurance of claims processing, ensuring accuracy, timeliness, and compliance with policies and regulations.
- Continuous Improvement: Leverage feedback and monitor industry trends, adjusting quality assurance practices and models as needed to drive efficiencies and improve the client experience.
- Customer Service: Maintain high standards of customer service and support in all quality assurance-related interactions.
- Compliance & Risk Management: Manage risks related to claims processing quality, including adherence to internal guidelines and standards as well as legal and regulatory standards.
- Leadership: Lead and manage a robust quality assurance organization, including attracting and retaining top industry talent from across all areas of the business and fostering a culture of collaboration, innovation, and continuous improvement.
- Stakeholder Management: Collaborate with internal departments, external vendors, and other key stakeholders to execute a market-leading quality assurance strategy.
- Perform other duties as assigned
The base salary range for this position is $87,000 - $150,000. 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
- 10 years of experience in claims quality assurance in the employee benefits space
- 5 years of people management experience with excellent leadership and team management abilities
- Detailed knowledge of quality assurance methodologies and regulatory guidelines
Preferred Qualifications
- Bachelor's degree
- Previous experience leading quality programs for the following employee benefits products: Disability; Paid and Unpaid Leaves; Life Insurance; Accident; Critical Illness; Hospital Indemnity; Dental; Vision; and Life Waiver of Premium.
- Strong analytical, strategic thinking and problem-solving skills
- Strong understanding of quality assurance technologies and industry trends
- Proven track record of innovative problem solving
- Strong verbal, written communication and presentation skills and ability to collaboratively problem-solve
- Comfortable dealing with both complexity and ambiguity
Skills
Quality Assurance Management: Knowledge of quality assurance management; ability to implement strategies and techniques used to ensure that claims processing meets the highest standards of accuracy and compliance.
Effective Communications: Understanding of effective communication concepts, tools and techniques; ability to effectively transmit, receive, and accurately interpret ideas, information, and needs through the application of appropriate communication behaviors.
Leadership: Knowledge of leadership practices and processes; ability to use strategies and skills to enlist others in setting, embracing and achieving objectives while having a long-term perspective of the future state of things and how to get there.
Planning: Tactical, Strategic: Knowledge of effective planning techniques and ability to contribute to operational (short term), tactical (1-2 years) and strategic (3-5 years) planning in support of the overall business plan.
Product and Vendor Evaluation: Knowledge of product and vendor evaluation; ability to implement processes for the evaluation and selection of products, tools, services and infrastructure components ensuring they are in line with an organization's business needs and architectural principles.
Project Management: Knowledge of effective project management strategies and tactics; ability to plan, organize, monitor, and control projects, ensuring efficient utilization of technical and administrative resources to achieve project objectives.
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.
**********
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 .
#LI-Remote Apply
Job Profile
Regions
Countries
401(k) Dental Medical Paid Time Off Performance bonuses Total Rewards Program Vision
Tasks- Collaborate with stakeholders
- Develop and lead quality assurance program
- Ensure compliance with regulations
- Lead quality assurance team
- Manage risks
- Oversee claims processing quality
Analytical Claims processing Claims quality assurance Communication Continuous Improvement Customer service Effective Communication Employee Benefits Leadership Life Insurance People Management Presentation Problem-solving Process Implementation Project Management Quality Assurance Quality assurance methodologies Regulatory Guidelines Reporting Stakeholder management Strategic Thinking Technology deployment
Experience10 years
Education TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9
Remote Jobs in North America
Remote Jobs in Europe
Remote Jobs in Asia/Pacific
Remote Jobs in South America
Remote Jobs in Africa
Remote Jobs in Middle East
Full Time Remote Jobs
Part Time Remote Jobs
Internship Remote Jobs
Contract Remote Jobs
Temporary Remote Jobs
Freelance Remote Jobs
Mid-Level Remote Jobs
Senior-Level Remote Jobs
Entry-Level Remote Jobs
Exec-Level Remote Jobs
Lead-Level Remote Jobs
Remote Contract Jobs
Remote Program Manager Jobs
Remote Engineer I Jobs
Remote Marketing Manager Jobs
Remote Spanish Jobs
Remote Technician Jobs
Remote Data Scientist Jobs
Remote Advisor Jobs
Remote Machine Learning Jobs
Remote Sales Manager Jobs
Remote Mobile Jobs
Remote Therapist Jobs
Remote Customer Success Jobs
Remote Inside Sales Jobs
Remote Finance Jobs
Remote Writer Jobs
Remote Customer Service Jobs
Remote Data Engineer Jobs
Remote Associate Director Jobs
Remote Associate Dir Jobs
Remote Jobs with PHP > 280K in Salary
Remote Jobs with PHP > 160K in Salary
Remote Jobs with PHP > 260K in Salary
Remote Jobs with PHP > 180K in Salary
Remote Jobs with PHP > 100K in Salary
Remote Jobs with GBP > 140K in Salary
Remote Jobs with CAD > 180K in Salary
Remote Jobs with GBP > 160K in Salary
Remote Jobs with EUR > 140K in Salary
Remote Jobs with GBP > 180K in Salary
Remote Jobs with CAD > 200K in Salary
Remote Jobs with ₱ > 40K in Salary
Remote Jobs with PLN > 100K in Salary
Remote Jobs with PLN > 80K in Salary
Remote Jobs with PLN > 40K in Salary
Remote Jobs with PLN > 60K in Salary
Remote Jobs with PLN > 120K in Salary
Remote Jobs with PLN > 200K in Salary
Remote Jobs with PLN > 160K in Salary
Remote Jobs with PLN > 180K in Salary