Senior Disability Claims Examiner

🕒 May 21

🦞 Maine – Remote

🦞 Maine – Remote

💵 $61.7k - $101.9k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

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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 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

• 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

• 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