Disability Claims Examiner – LTD

🕒 March 11

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $53.3k - $88k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

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Prudential Financial

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1875

💸 Finance

🏠 Real Estate

Finance • Insurance • Real Estate

Prudential Financial is a multinational financial services leader with operations in the United States, Asia, Europe, and Latin America. With a heritage in life insurance and asset management, the company helps individual and institutional customers grow and protect their wealth. Prudential offers a variety of products and services, including life insurance, annuities, retirement-related services, mutual funds, asset management, and real estate services.

📋 Description

• 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 that serves to differentiate Prudential from competitors and ensures that customer commitments and deliverables are achieved. • Communicate 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 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 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 ability to balance multiple priorities. • Work independently as well as within a team structure.

🎯 Requirements

• 2 years minimum of prior Long Term Disability Claim Management or highly relevant experience required. • 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

• 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 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. • 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.