Prudential Financial

Senior Disability Claims Examiner – LTD

Prudential Financial

full-time

Posted on:

Location Type: Remote

Location: Arizona • Maine • United States

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Salary

💰 $61,700 - $101,900 per year

Job Level

Senior

About the role

  • Provide excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims
  • Utilize judgment and assess risk as you work with various business partners to render claim decisions
  • Partner with medical and vocational resources to evaluate disability and support return to work goals
  • Deliver an exceptional customer experience that serves to differentiate Prudential from competitors
  • Communicate via telephone, email, and text with employees, employers, attorneys, and others
  • Review and interpret medical records, utilizing resources as appropriate
  • Complete financial calculations
  • Gain an understanding and working knowledge of the Prudential claim system, policies, procedures, and contracts as well as regulatory and statutory requirements for claim products administered
  • Apply contract/policy provisions to ensure accurate eligibility and liability decisions
  • Verify on-going liability and develop strategies for return-to-work opportunities as appropriate
  • Document objective, clear and technical rationale for all claim determinations
  • Leverage a broad spectrum of resources, materials, and tools to render claims decisions
  • Provide timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to all inquiries and maintaining expected service and quality standards
  • Provide technical direction and/or mentorship to other claims personnel as needed

Requirements

  • 4+ years of experience in Long Term Disability Claim Management required
  • Exceptional customer service skills
  • Ability to solve complex claim scenarios with minimal mentorship
  • Excellent claim/risk management skills and technical knowledge in contract interpretation and administration
  • Proven skills in positive and effective interaction with challenging customers
  • Strong written and oral communication skills demonstrated in previous work experience (preference for bilingual verbal communication in Spanish and English)
  • Excellent organizational and time management skills with ability to multitask and prioritize deadlines
  • Detail oriented; able to analyze and research contract information
  • Demonstrated ability to operate with a sense of urgency
  • Experience in effectively meeting/exceeding individual professional expectations and team goals
  • Demonstrated analytical and math skills
  • Ability to exercise critical thinking skills, risk management skills and sound judgment
  • Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment
  • Continuous improvement mindset
  • A commitment to support a work environment that fosters Diversity and Inclusion
  • Strong computer literacy and skills with the ability to work within multiple systems; proficiency with PC based programs such as Excel and Word.
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 & Tools
Long Term Disability Claim Managementclaim/risk managementcontract interpretationfinancial calculationsanalytical skillsmath skillscritical thinkingrisk management
Soft Skills
customer serviceproblem solvingcommunicationorganizational skillstime managementdetail orientedself-motivatedcollaborationcontinuous improvement mindsetcommitment to Diversity and Inclusion