Senior Disability Claims Examiner - Overpayment Recovery Specialist (Remote)

Job Classification:

Operations - Insurance Operations

The Financial Services Team, within the Group Insurance Disability Organization, is seeking an Overpayment Recovery Specialist. The successful candidate will be expected to interact with claimants, employers, attorneys and collections agencies, articulate how an overpayment debt occurred and negotiate reimbursement plans.

This role requires the ability to partner closely with claim manager and provide expertise regarding taxes, offset and financial calculations.

Job Responsibilities:

• Responsible for written communication of overpayments.
• Recovers overpayment that have occurred on Paid Leave, STD, and LTD claims.
• Performs recalculations of benefits paid on Paid Leave, STD, and LTD claims.
• Processes incoming checks.
• Applies cyclical withholdings of benefits to apply toward overpayments.
• Manages the ACH process for the transfer of funds applied to an overpayment.
• Provides technical support for claims team, in the financial aspects of claim management.
• Demonstrates an intimate understanding of all aspects of LTD, STD, and Paid Leave claim management/adjudication.
• Assists in the development and coordination of training for claim teams.
• Works with the team to address challenges relating to contract interpretation, procedures, and complex claim assistance and/or direction.
• Responds to customer service issues within required timeframes to meet customer expectations.
• For US employees, this job is exempt and therefore not eligible for overtime.

Qualifications:

• BA/BS or equivalent combination of education and disability insurance experience.
• 3 years of Disability Claims (STD, Waiver and/or LTD) or Collections experience required.
• Excellent organizational and time management skills.
• Strong written and communication skills demonstrated in previous work experience.
• Specific experience with collaborative negotiations and influencing others.
• Proven skills in positive and effective interaction with challenging customers.
• Demonstrated analytical and math skills.
• Ability to exercise sound judgment.
• High level of flexibility to adapt to the needs

Additional Requirements:

This position will work virtually, therefore new hires must be able to provide the following & all new hires who work remotely will be held accountable to these standards:

• Subscribe to internet service provider plan with at least 25 Mbps download speeds. You must be willing to troubleshoot any issues or outages with your home internet service, contacting your service provider as necessary.
• Must have the capability to handle calls with a cell phone (would need to have unlimited data and minutes) or a landline. Your personal phone number will not be identified to customers.
• Quiet area in your home with minimal distractions and noise free.
• Reliability and Dependability throughout our extensive training program is required.

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.

We’re a global organization, full of outstandingly dedicated people who aren’t 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 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.
• 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, see our Total Rewards Brochure. 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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Note: 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 $62,500.00 to $93,000.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills. Roles may also be eligible for additional compensation and/or benefits. 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. In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement.