$80K - $100K(Ladders Estimates)
The Claims Manager for Long Term Care (LTC) will report directly to the LTC Director of Claims Process and will support the LTC Aging in Place strategy and the Claims Management vision.
You will also provide oversight of selected vendor partners for the Aging in Place strategy and have responsibility for the implementation and execution of initiatives related to Aging in Place. The Aging in Place strategy is defined as the application of technologies, analytics, processes and interventions that will increase the probability of LTC policyholders to healthily age in place while reducing costs and improving financial outcomes for all stakeholders.
As a subject matter expert, key responsibilities include:
Provide project management expertise, implementation support and execution of programs related to Aging in Place and Claim Management vision initiatives.
Monitor industry trends related to claims management. Actively engage with the industry with the development of LTC best practices and identify areas for process improvement.
Thought leader for new initiatives including identifying services/programs designed to improve block performance; providing support for implementation of pilot programs; partnering with new vendors in support of strategic outsourced efforts.
Participate in the advancement, development and use of predictive analytics to manage the block in accordance with determined goals.
Responsible for vendor oversight of strategic vendor partners during the implementation and execution phase of project launch.
Interact with various functional areas within the Prudential organization including Legal, Compliance, Privacy, Finance and others.
Strong analytical skills, business analysis and strategic thinking required.
While this position will be based in Dresher, PA, some travel will be required.
5+ years experience in similar role required. Knowledge of long-term care claims or exposure to similar products is preferred.
Comprehensive knowledge of principles, methods and techniques of long-term care insurance claims management
Demonstrated strong leadership and management skills, including analytical, organizational and problem-solving skills, which support sound decision making
Must have flexibility and ability to adapt to changing priorities and ambiguous environment
Prior experience evaluating and/or developing programs to manage claims risk preferred
Highly self-motivated and able to thrive in an extremely fast-paced and changing environment
Oversight or experience with TPA and other vendor management experience preferred
Clinical background a plus
CLTC or LTCP designations a plus
4 Year Degree Required
Prudential is a multinational financial services leader with operations in the United States, Asia, Europe, and Latin America. Leveraging its heritage of life insurance and asset management expertise, Prudential is focused on helping individual and institutional customers grow and protect their wealth. The company's well-known Rock symbol is an icon of strength, stability, expertise and innovation that has stood the test of time. Prudential's businesses offer a variety of products and services, including life insurance, annuities, retirement-related services, mutual funds, asset management, and real estate services.
We recognize that our strength and success are directly linked to the quality and skills of our diverse associates. We are proud to be a place where talented people who want to make a difference can grow as professionals, leaders, and as individuals. Visit www.prudential.com to learn more about our values, our history and our brand.
Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, genetics, disability, age, veteran status, or any other characteristic protected by law.
Note that this posting is intended for individual applicants. Search firms or agencies should email Staffing at email@example.com for more information about doing business with Prudential.
Valid Through: 2019-11-14