Head of Claims Compliance, Employee Benefits

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.

Equitable is looking for an experienced expert to join our team! The Head of Claims Compliance will oversee all aspects of our Employee Benefits (EB) Claims compliance framework. Reporting directly to the Head of Claims, this role is pivotal in ensuring compliance with regulatory and legal requirements in the administration of claims for our Employee Benefits product suite, with includes group dental, vision, life insurance, short and long term disability, statutory benefits, paid family leave, as well as supplemental health offerings, including accident, critical illness, hospital indemnity, and associated wellness benefits.

This individual must be able to help deliver Employee Benefits’ “Powerfully Simple” vision, by supporting the Employee Benefits claims organization with a rigorous compliance framework.

What You’ll Be Doing

• *Compliance:* Ensures all claims processes comply with relevant laws and regulations. Stays current regarding updated changes in legislation and adjusts advice accordingly.

• *Key Controls:* Establishes and monitors key controls within the EB Claims organization, including SOX compliance. Partners with members of the EB Claims leadership team and internal control functions.

• *Audit Oversight:* Ensures internal and external audit needs are well-coordinated and serves as the primary point of contact for internal and external claims-related audits, including market conduct.

• *Records Management:* Serves as the primary contact for items related to claims records management, to ensure full compliance with internal and external guidelines and regulations.

• *Business Continuity:* Collaborates on the EB Claims business continuity plan and works with internal and external vendor stakeholders to ensure plans are robust and revisited regularly.

• *Privacy Liaison:* Collaborates with enterprise privacy partners to ensure privacy outages are mitigated and coordinates prevention and control mechanisms related to claims data privacy.

• Performs**other**duties**as**assigned.

This position offers a flexible work schedule: it may be fully remote/hybrid. If you are located near one of our offices (e.g., Charlotte, NC; New York, NY; Syracuse, NY), a hybrid schedule with 2–3 days on-site per week is expected to foster collaboration and connection.

The base salary range for this position is $160,000 - $200,000. 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