Senior Disability Claims Examiner
Prudential Financial
full-time
Posted on:
Location Type: Remote
Location: Remote • Arizona • 🇺🇸 United States
Visit company websiteSalary
💰 $64,100 - $95,300 per year
Job Level
Senior
About the role
- Provide concierge-level customer service to one of Group Insurance’s largest clients
- Gain a deep understanding of the client’s culture and guide employees through the life cycle of a disability claim
- Deliver world-class service ensuring a more effortless experience for the employee
- Engage Expert Resources to enhance the claim journey, addressing Behavioral Health and Vocational opportunities
- Interact directly with the Leave team at the client during quarterly virtual meetings
- Interface daily with the client’s Benefits Business Partners
- Seek opportunities to enhance the claimant experience and serve as an ambassador for continuous process improvement
- Manage an assigned block of around 75 Long-Term Disability (LTD) and Short-Term Disability (STD) claims
Requirements
- 3+ years of LTD experience
- STD claim handling and Life Waiver of Premium experience and/or understanding is preferred
- Expert-level, proactive communication skills using a variety of pathways including telephone, email, letters, Teams messaging, group Teams calls, and one-on-one video calls
- An energetic customer focus evidenced through maintaining customer relationships
- Confidence in communicating with highly skilled and highly educated claimants in the software industry
- Ability to interact confidently with attorneys and specialty medical professionals such as Psychiatric providers
- Excellent documentation skills to capture the essence of telephone conversations and to establish clear, concise claim plans
- Ability to comprehend and interpret complex and non-standard policy and plan provisions
- Strong ability to independently work through ambiguous situations and adjust course quickly when needed
- Advanced math skills with the ability to perform financial calculations related to salary and incentives, partial disability calculations, RTW incentives, and offsets
- Provides technical direction to other claims personnel as needed
- Excellent organizational and time management skills
- Demonstrated teamwork skills and ability to leverage resources to attain goals
Benefits
- Medical, dental, vision, life insurance, disability insurance
- Paid Time Off (PTO)
- Leave of absences such as parental and military leave
- 401(k) plan with company match (up to 4%)
- Company-funded pension plan
- Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs.
- Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.
- Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs.
- Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service.
- Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program, whereby an award, if any, depends on various factors including, without limitation, individual and organizational performance.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
LTD claims handlingSTD claims handlingLife Waiver of Premiumfinancial calculationspartial disability calculationsRTW incentivesdocumentation skillspolicy interpretationprocess improvementtechnical direction
Soft skills
customer serviceproactive communicationcustomer relationship managementconfidence in communicationindependent problem solvingorganizational skillstime managementteamworkadaptabilityenergetic customer focus