Associate Disability Claims Examiner (Bilingual Preferred, Remote)

Job Classification:

Associate Disability Claims Examiner:

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 globe. 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 out of NJ, ME, AZ as well as fully remote teams.

The Role

The LTD 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:

• Demonstrate excellent customer service skills through communication via telephone, email, and text with employees, employers, attorneys, and others.
• Document claim information in a clear and concise manner.
• Understand and apply policy plan provisions
• Review medical records and utilize appropriate clinical resource(s).
• Complete financial calculations as needed with appropriate resource referrals.
• A detail-oriented focus and exceptional time management skills
• A commitment to support a work environment that fosters Diversity and Inclusion
• Proficiency with PC-based programs such as Excel and Word
• Ability to adapt, problem solve quickly and communicate effective solutions
• Continuous improvement mindset coupled with a knack for managing initiatives simultaneously
 

What You’ll Need to Succeed:

• Ability to manage multiple and changing priorities
• Excellent organizational and time management skills with ability to multitask and prioritize deadlines
• Strong written and oral communication skills demonstrated in previous work experience
• Proven skills in positive and effective interaction with challenging customers
• Experience in effectively meeting/exceeding individual professional expectations and team goals.
• Demonstrated analytical and math skills
• Ability to exercise sound judgment
• High level of flexibility to adapt to the needs of the organizations
• Strong critical thinking skills and risk management

It’d Be a Plus If You Have:

o PC skills preferred (i.e. Windows based environment)
o College degree and prior claim experience preferred

This position will work virtually, therefore new hires must be able to provide the following:

• High speed internet service must be available in your area. You must be willing to troubleshoot any issues or outages with your home internet service, contacting your service provider as necessary. The internet service cannot be wireless, and the internet speed requirement is: 3.0 mg downstream and 768k upstream.
• Must have the capability to handle calls with a cell phone (would need to have unlimited data and minutes) or a landline. You will be logging into Avaya therefore your personal phone number will not be identified to customers.
• Quiet area in your home with minimal distractions and noise free.

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. 

• 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. 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.