Disability Claims Appeal & Complaints Analyst; REMOTE

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. We are seeking an influential and dynamic Disability Claims Appeal & Complaints Analyst to join our Disability and Absence Claims organization. The Analyst is responsible for managing and resolving complex insurance claims disputes, investigating appeals, preparing legal documentation, ensuring compliance with regulatory standards and company policies, and acting as a liaison between the claims department, legal counsel, and policyholders.

• Handle appeals submitted on Disability (STD, LTD, Leave) products.
• Review adverse claim life decisions within STD, LTD, State Leave product line.
• Review claim files in depth to determine if prior claim decisions were appropriate or should be reversed.
• Provide high‑level feedback on claim handling.
• Handle appeals in line with job aids in place.
• Review regulatory and presidential complaints and provide responses to appropriate agencies.

• Prior claim handling experience in fully and self‑insured STD, LTD and State Leave lines of business.
• Prior appeal handling experience in fully/self‑insured STD, LTD, State Leave lines of business, including decision letter writing.
• Prior complaint handling experience (regulatory, senior officer, presidential).
• Contract review and interpretation skills.
• Letter writing skills.

• FINEOS experience.
• Microsoft Office proficiency.
• Excel experience/knowledge.
• PowerPoint experience.

Claims Management: Comprehensive understanding of insurance policies, coverage terms, medical classification, and claims adjudication procedures.

Legal Acumen: Familiarity with legal principles relevant to insurance disputes, including contract law, civil procedure, and regulatory requirements.

Effective Communications: Excellent written and verbal communication to effectively convey information to diverse audiences including legal professionals, policyholders, and internal stakeholders.

Information Analysis and Interpretation: Ability to critically evaluate complex medical records, policy language, and legal arguments to make informed decisions; strong analytical and problem‑solving skills; maintain accurate records of all cases in the system of record.

The base salary range for this position is $50,000 – $65,000. Actual base salaries vary based on skills, experience, and geographical location. 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 offers a full range of benefits, including medical, dental, vision, a 401(k) plan, and paid time off.

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 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.

United States – Remote

United States – NC – Charlotte, United States – NY – Syracuse

Equitable

Full‑time

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  or email us at Ta