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About the Role
Equitable is seeking an experienced Head of Claims Compliance to oversee the Employee Benefits (EB) Claims compliance framework. This pivotal role ensures adherence to regulatory and legal requirements for various Employee Benefits products, supporting the organization's "Powerfully Simple" vision with a rigorous compliance framework.
Responsibilities
- Ensures all claims processes comply with relevant laws and regulations, staying current with legislative changes.
- Establishes and monitors key controls within the EB Claims organization, including SOX compliance, in partnership with leadership and internal control functions.
- Coordinates internal and external audit needs, serving as the primary contact for claims-related audits, including market conduct.
- Manages claims records to ensure full compliance with internal and external guidelines and regulations.
- Collaborates on the EB Claims business continuity plan with internal and external vendor stakeholders.
- Works with enterprise privacy partners to mitigate privacy outages and coordinates prevention and control mechanisms for claims data privacy.
- Performs other duties as assigned.
Requirements
- Bachelor’s degree
- 10+ years of experience in the Employee Benefits / Group Insurance industry
- 5+ years of direct experience with claims compliance in an Employee Benefits setting
- Specific prior experience supporting one or more of the following products: group dental, vision, life insurance, short/long term disability, statutory benefits, paid family leave, and/or supplemental health offerings (accident, critical illness, hospital indemnity, and associated wellness benefits).
- J.D. degree highly desired
- Experience with FINEOS claims software a big plus
- Strong understanding of compliance and internal controls
- Excellent interpersonal and relationship building skills
- Exceptional verbal and written communication skills
Skills
- Regulatory Compliance Expertise
- Internal Controls Management
- Audit Coordination
- Data Privacy and Records Management
- Business Continuity Planning
- Communication and Collaboration
- Problem-Solving and Analytical Skills
Location
- Remote
- Hybrid
Work Type
- Remote
- Hybrid
Experience Level
- 10+ years of experience in the Employee Benefits / Group Insurance industry
- 5+ years of direct experience with claims compliance in an Employee Benefits setting
Education Level
- Bachelor’s degree
- J.D. degree
Salary/Compensations
- $160,000 - $200,000
Benefits
- Medical
- Dental
- Vision
- 401(k) plan
- Paid time off
About the Company
- 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.
Equal Opportunity
- 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.