Prudential Financial

Disability Claims Examiner – LTD

Prudential Financial

full-time

Posted on:

Location Type: Remote

Location: New Jersey • United States

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Salary

💰 $53,300 - $88,000 per year

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 while working 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 to differentiate Prudential from competitors
  • Communicate via telephone, email, and text with employees, employers, attorneys, and others
  • Review and interpret medical records
  • Complete financial calculations
  • Gain understanding of Prudential claim system, policies, procedures, contracts, regulatory, and statutory requirements for claim products administered
  • Apply contract/policy provisions to ensure accurate eligibility and liability decisions
  • Demonstrate and apply analytical and critical thinking skills
  • Verify ongoing liability and develop strategies for return-to-work opportunities
  • Document objective, clear and technical rationale for all claim determinations
  • Communicate claim decisions to customers via oral and written communication
  • Leverage resources, materials, and tools to render claims decisions
  • Provide timely and exceptional customer experience by paying appropriate claims accurately and timely

Requirements

  • 2 years minimum of prior Long Term Disability Claim Management or highly relevant experience
  • Exceptional customer service skills
  • 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
  • Ability to manage multiple and changing priorities
  • 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
  • Ability to adapt, problem solve quickly and communicate effective solutions
  • High level of flexibility to adapt to the changing needs of the organization
  • 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)
  • 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 support various 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
  • Eligibility to participate in a discretionary annual incentive program
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 Managementfinancial calculationsanalytical skillsmath skillsrisk managementcritical thinkingcontract analysiseligibility decisionsliability decisionsreturn-to-work strategies
Soft Skills
customer serviceeffective communicationorganizational skillstime managementmultitaskingproblem solvingflexibilityself-motivatedcollaborationcontinuous improvement mindset