Senior Disability Claims Examiner

Prudential Financial

Senior Claim Manager providing concierge-level customer service in disability claims for Group Insurance. Delivering exceptional service while managing a block of complex LTD and STD claims.

Posted 5/21/2026full-timeRemote • Maine • 🇺🇸 United StatesSenior💰 $61,700 - $101,900 per yearWebsite

About the role

Key responsibilities & impact

Provide concierge-level customer service to one of Group Insurance’s largest clients
Take a consultative approach in guiding and coaching client’s 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 further 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 further enhance the claimant experience
Serve as an ambassador for continuous process improvement within the Concierge Team
Manage an assigned block of around 75 Long-Term Disability (LTD) and Short-Term Disability (STD) claims
Oversee a block of complex claims, including those with co-morbidities, behavioral health issues, and self-reported symptoms

Requirements

What you’ll need

3+ years of LTD experience is required
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 to deliver exceptional, white-glove service to the customer
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

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

LTD claims handlingSTD claims handlingLife Waiver of Premiumfinancial calculationsdocumentation skillspolicy interpretationprocess improvementcustomer relationship managementbehavioral health understandingvocational opportunities

Soft Skills

proactive communicationcustomer focusconfidence in communicationexcellent organizational skillstime management skillsteamworkability to work independentlyadaptabilityconsultative approachenergetic customer service