Business Vendor Engagement Manager, Employee Benefits Claims

Business Vendor Engagement Manager, Employee Benefits Claims

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 seeking an influential and dynamic Vendor Engagement Manager to join our Disability and Absence Claims organization. This position will serve as EB Claims Operation point of contact, escalation, and invoice liaison for Third Party Administration (TPA), BPO, and Vendors. It will provide responsive and pro-active support to internal and external parties as it relates to those relationships. This role will be responsible for the management of TPA invoice processing, escrow funding, payment/loss data reconciliations and TPA system access controls. This position works independently with TPA business partners, internal operations, and leadership.

Key Job Responsibilities

This role will be responsible for the management and oversight of operational support including invoice processing, escrow funding, payment/loss data reconciliations and TPA/BPO/Vendor system access controls.

• Vendor Management: Conduct regular stewardship meetings with vendor/TPA/BPO partners to ensure that all parties are meeting the requirements of the claim service agreements. Ensures claims are processed accurately within regulatory and company guidelines. Process TPA invoices in a timely manner, identifying gaps and collaborating with management to resolve items with best business practices in mind. Manage funding requests, including quarterly evaluations, to ensure funding requests are appropriate and controlled within funding guidelines. Perform monthly reconciliations of related bank accounts.
• Client Relationships: Fosters strong relationships with clients to understand their needs and ensure high levels of satisfaction. Addresses and resolves any client issues or concerns promptly. Act as primary group/internal liaison for the TPA/BPO/Vendor and/or escalated customer issues. Identify gaps, proactively communicate corrective actions, and ensure outcomes are achieved. Analyze and effectively communicate broader operations aspects, changes to process, and ensure all training requirements are met.
• Compliance: Ensures all claims processes comply with relevant laws and regulations. Stays current regarding updated changes in legislation and adjusts processes accordingly. Coordinate all audits: regulatory, internal, customer and technical claim file reviews. This coordination will require an understanding of the claims business as well as the financial controls necessary to manage the TPA/BPO/Vendor relationship. Communicate and monitor new law compliance and ensure ongoing regulatory requirements are being met.
• Stakeholder Management: Collaborates with internal departments, external partners, and other key stakeholders to execute a market-leading claims management experience. Use professional communication skills to proactively facilitate discussions around concerns and manage updates to successful completion with limited direction.
• Support: Offer subject matter support to all internal and external partners, providing analysis and recommendations with each interaction.
• Execute activities related to Equitable Vendor Management Framework and other corporate requirements.

The base salary range for this position is $90,000 - $140,000. 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

• 5 years experience in Employee Benefits / Group Insurance Claims
• 5 years experience in disability, voluntary and/or life claims. Dental and vision are a plus.
• Demonstrable analytical skills.
• Background working with agreements, invoices, and financial reconciliations.
• Direct client relationship management experience: including the ability to independently manage high profile strategic relationships.

Preferred Qualifications

• Strong understanding of technology and industry trends
• Excellent client relationship management skills
• Strong verbal, written communication, and presentation skills
• Comfortable dealing with complexity and ambiguity and able to explore multiple solutions
• Previous experience with FINEOS Claims software platform preferred, but not required
• Sound judgment in making critical business decisions.
• Ability to analyze data, determine root cause, and provide and/or develop an appropriate solution for resolution.
• Flexible, adaptive, and comfortable in a dynamic environment.
• Must be proficient in Microsoft Office products including Word, Excel, and PowerPoint.
• Demonstrated ability to multi-task, work under pressure, think analytically and communicate effectively.
• Excellent communication skills both written and oral (with internal and external business partners)

Skills

Cross-functional Collaboration: Knowledge of collaborative techniques and approaches; ability to promote a culture of continuous improvement and working together across functions to solve business problems and meet business goals.

Customer Segmentation: Knowledge of customer segmentation; ability to differentiate customers into meaningful groups and to establish interactions and service levels appropriate to each group.

Decision Making and Critical Thinking: Knowledge of the decision-making process and associated tools and techniques; ability to accurately analyze situations and reach productive decisions based on informed judgment.

Industry Knowledge: Knowledge of the organization's industry group, trends, directions, major issues, regulatory considerations, and trendsetters; ability to apply industry knowledge appropriately to diverse situations.

Influencing: Knowledge of effective influencing tactics and strategies; ability to impact decisions within and outside own organization.

Market Research: Knowledge of market research; ability to collect, collate and analyze information about existing or potential markets and market needs.

Diversity, Equity and Inclusion: Demonstrates a commitment to Diversity, Equity and Inclusion by treating everyone with respect and dignity, ensuring all voices are heard and advocating for change.

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.