Job Classification:
Operations - Insurance Operations
Prudential is a company of smart, ambitious professionals working together across a multitude of disciplines. Together, we are building a better financial future for our customers and our communities around the world. At Prudential, we understand that a company is only as good as its people. This simple fact is central to all that we do!
The Team
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 hybrid out of NJ, ME, AZ as well as fully remote teams.
The Role
The LTD Associate Disability Claims Examiner is an entry level position. This role is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. The Examiner is 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 outstanding 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, applying 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 ongoing 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
Work independently as well as within a team structure
What Youll Need to Succeed:
Customer service skills
Strong written and verbal 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 good judgment.
Ability to adapt, problem solve quickly and communicate constructive 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 demeanor
A dedication to support a work environment that fosters Diversity and Inclusion
Successful digital literacy and skills with the ability to work within multiple systems.
Itd Be a Plus If You Have:
Bi-Lingual in Spanish and English languages
College degree and/or prior claim experience
Proficiency with PC-based programs such as Excel and Word
At Prudential, you can:
Take charge of your career. We equip and empower our employees to expand their skills and experience by using powerful learning, gigs, and job opportunities. We offer a suite of services including 1:1 Career advice, on demand resources and networking to propel your career forward.
Were a global organization, full of outstandingly dedicated people who arent afraid to think differently, challenge the status quo and take sensible risks along the way. You will enjoy pushing boundaries as we build innovative technology that helps clients, customers and employees live their best lives. You will have access to leadership and learning opportunities and the resources needed to take your career in any direction. We will help you do your best work, offering flexibility, while delivering on our Purpose.
What we offer you:
Market driven 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.
Retirement plans: 401(k) plan with company match (up to 4%)
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.
Tuition Assistance to help finance traditional college enrollment toward obtaining an approved degree, many accredited certificate programs, and industry designations.
To find out more about our Total Reward 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.
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Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity