Prudential Financial

Senior Disability Claims Examiner (LTD) (Virtual)

Prudential Financial • $61K — $101K *
US-Anywhere
+ 4 other locationsRemote
Finance & Insurance
Less than 5 years of experience
1 month ago
Job Overview by Ladders

Qualifications

  • 4+ years of experience in Long Term Disability Claim Management required
  • Exceptional customer service skills
  • Strong written and oral communication skills; bilingual in Spanish preferred
  • Excellent claim/risk management skills and contract interpretation knowledge
  • Detail-oriented with strong analytical and math skills
  • High level of flexibility and adaptability to changing demands
  • Proven ability to work effectively both independently and in a collaborative team environment.

Responsibilities

  • Manage a block of around 95-100 Long-Term Disability claims
  • Deliver exceptional customer experience to differentiate Prudential from competitors
  • Review and interpret medical records and complete financial calculations
  • Document clear and technical rationale for claim determinations
  • Verify ongoing liability and create return-to-work strategies
  • Communicate with various stakeholders via telephone, email, and text
  • Mentor other claims personnel and provide technical direction as necessary.

Benefits

  • Market competitive base salaries with yearly bonus potential
  • Medical, dental, vision, life insurance, and disability insurance
  • Company-funded pension plan
  • Wellness programs offering up to $1,600 a year for personal wellbeing reimbursements
  • Education Benefit for traditional college or accredited certificate programs
  • Employee Stock Purchase Plan allowing purchase at 85% of lower price.
Full Job Description
Job Classification:
Operations - Insurance Operations

Senior Disability Claims Examiner:

You will be part of the Long-Term Disability (LTD) Claims team which is part of our Group Insurance Business. We have Long-Term Disability teams based out of New Jersey, Maine, and Arizona as well as fully remote teams.

The Role

The Long-Term Disability (LTD) Senior Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. You will be expected to utilize judgment and assess risk as you work with various business partners to render claim decisions. As a claim manager you will partner with medical and vocational resources to evaluate disability and support return to work goals. Additional responsibilities include:
  • Deliver an exceptional customer experience that serves to differentiate Prudential from our competitors and ensures that customer commitments and deliverables are achieved.
  • Communication 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.
  • Demonstrate and apply analytical and critical thinking skills.
  • Verify on-going liability and develop strategies for return-to-work opportunities as appropriate.
  • Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication.
  • 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.
  • Work within a fast-paced environment, with tight deadlines and the ability to balance multiple priorities.
  • Provide technical direction and/or mentorship to other claims personnel as needed.
  • Work independently as well as within a team structure.


What you'll need to succeed:
  • 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.
  • 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.


#LI-MG1

What we offer you:

Prudential is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $61,700.00 to $101,900.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills.
  • Market competitive base salaries, with a yearly bonus potential at every level.
  • Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO), and leave of absences, such as parental and military leave.
  • 401(k) plan with company match (up to 4%).
  • Company-funded pension plan.
  • Wellness Programsincluding 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. To find out more about our Total Rewards package, visit Work Life Balance | Prudential Careers. Some of the above benefits may not apply to part-time employees scheduled to work less than 20 hours per week.

Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom.



If you are experiencing a technical issue with your application or an assessment, please email [email protected] to request assistance.

About Prudential Financial

Prudential Financial is a financial services company that specializes in the fields of investment management, life insurance, and retirement benefits. It focuses on helping individuals and institutional customers to grow and protect their wealth. The company also offers an inclusive work environment where employees can develop to their full potential, and give back to the communities where they live and work. Prudential Financial was founded in 1875 and headquartered in Newark, New Jersey.

Prudential Financial Careers

Join the esteemed ranks of Prudential Financial, a global leader in financial services, where your career is nurtured, your innovation valued, and your professional growth guaranteed. Work You’ll Do At Prudential Financial, we are committed to helping individuals and businesses tackle their financial challenges with robust solutions. As part of our team, you will lead efforts to innovate and expand our services, ensuring that we remain at the forefront of the financial industry. Transform the financial landscape with your expertise and join a team where diversity, leadership, and personal growth are not just encouraged but actively fostered. With Prudential Financial, you position yourself at the nexus of finance and cutting-edge innovation. Collaborate with a global network of professionals, dedicated to steering clients through their financial journeys with precision and foresight. Our culture thrives on teamwork, leadership, and a shared commitment to excellence. Prudential Financial Job Opportunities We are actively hiring and have a variety of job opportunities designed to bring out the best in each employee. From entry-level positions to leadership roles, Prudential Financial offers a path for every ambitious professional eager to make an impact in the financial sector. Do Innovative Work Join our team of over 40,000 professionals worldwide, working together to reshape the future of finance. At Prudential Financial, your skills in networking, strategic thinking, and leadership will drive change and foster an environment of continuous innovation and growth. Internship Programs Kickstart your career with a Prudential Financial internship. Our programs offer invaluable industry insights and hands-on experience, making them a perfect starting point for students and recent graduates eager to make their mark. Benefits and Culture Prudential Financial is not just about professional achievements but also about personal well-being. Our employees enjoy comprehensive benefits, including health, life, and disability insurance, retirement plans, and generous paid time off. More than just benefits, our company culture is built on mutual respect, inclusivity, and the collective pursuit of excellence. Future-Proof Your Career With Prudential Financial, career advancement is a reality. We provide extensive training and development programs, including leadership and diversity training, to ensure you are always ahead of the curve. Explore Discover how Prudential Financial leads the way in financial innovation and client service. Read more about our latest projects and the impact they have on our clients and the industry. Stay Connected Join Our Team Search open positions that match your skills and interests. We are looking for passionate, curious, and solution-driven team players. Explore Prudential Financial jobs today and find where you fit in our dynamic team. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can put to use today—all from the people who work here. Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Discover the exciting and rewarding opportunities that await at Prudential Financial.
Learn more about Prudential Financial
Size
88 employees
Market Cap
$36.2 billion
Industry
Finance & Insurance
Net Income
-$374 million
Founded
1875
5 Year Trend
+3.8%
Revenue
$57 billion
NASDAQ
PBIP
* Ladders Estimates

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