Logo for PGIM Ireland

Clinician

Role overview

Summary

This role supports the Long-Term Disability Claims Teams at Prudential by reviewing medical documentation to determine restrictions and limitations for clients. You will collaborate with claims teams, physicians, and vocational departments to facilitate effective claim management.

Qualifications

  • RN/PT/OT license - must be current.
  • 3+ years of acute care experience
  • Experience in case management
  • Strong interpersonal and communication skills (written and verbal)
  • Computer proficiency and technical aptitude with MS Office including Excel Spreadsheets

Responsibilities

  • Review and assess complex illness and injury claims.
  • Identify restrictions and limitations based on various factors to assist claim management staff.
  • Assist in strategy and identify appropriate utilization of clinical and vocational resources.
  • Apply effective written and verbal communication skills to document clinical assessments and engage with other resources.

About the company

PGIM Ireland logo

PGIM Ireland

  • Asset & Wealth Management
  • 51–200
Do you imagine yourself in a career where you can balance your work life with your personal life? Are you hoping to develop your skillset and progress your career in a place where you can collaborate and consult with experts in their fields? Welcome to PGIM Ireland Work/life fit: Life in PGIM Ireland comes with many benefits that encourage a strong work/life balance for all our employees. We offer flexibility such as hybrid working, variable starting times and part time working arrangements. Career development and progression: PGIM Ireland invests heavily in Learning and Development, the philosophy being that extensive provisions are made for employees to own their careers. Each employee receives continuous training through their Individual Development Plan and, through our web-based training programme, employees are granted access to a wide range of online courses. Additionally, our educational assistance programme provides employees with an opportunity to realise their full potential and career aspirations through continuing education. As a result of these initiatives, many employees upskill and move into higher level roles within the organisation. Life in Donegal: It is no wonder Donegal was named the ‘Coolest Place on the Planet for 2017’ by National Geographic Traveller. From its blue flag beaches to its green headlands, Donegal is home to several scenic locations. Whether you’re looking for a taste of history at Glenveagh National Park or Grianán of Áileach or seeking adventure at Banba’s Crown or on the Cliff Coast, Donegal doesn’t disappoint.

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

Job Classification:

Operations - Insurance Operations

At Prudential, we believe talent is key to achieving our vision. When you join Prudential, you’ll unlock a motivating and impactful career – all while growing your skills and advancing your profession at one of the world’s leading financial services institutions!


Are you a problem solver who can use critical thinking skills? Are you self-motivated teammate with strong organizational skills? Then this opportunity may be what you are looking for!


You will be a member of the Expert Resource Team supporting Long-Term Disability Claims Teams which is part of our Group Insurance Business. We have Long-Term Disability offices in and Newark NJ, Portland ME, and Scottsdale AZ, with many of our staff members working virtually.


The current employee work arrangement for this position is fully virtual. While this position does not require your on-site presence on a regular basis, depending on business preferences, there may be occasions where you are required to be on-site at a Prudential office.


What you can expect:

In this role, you will be reviewing medical documentation in case files to make determinations on medically supported restrictions and limitations for clients. Our clinicians work in collaboration with our claims teams, our physicians, our return to work coordinators and vocational departments to resolve the best course for claim management.


Here are some of the responsibilities for the role:

  • Review and assessment of primarily complex illness and injury claims
  • Identify restrictions and limitations based on physiological, psychological, and social factors to assist claim management staff in their claim handling activities.
  • Assist in strategy as well as identifying appropriate utilization of additional clinical, vocational, or other resources which will require excellent analytical and critical thinking skills
  • Apply effective written and verbal communication skills to document clinical assessments; contact Treating Providers; engage in discussions with other resources including but not limited to Disability Claim Team Members, Clinical Peers and Vocational Rehabilitation Counselor Resources
  • Exhibit ability to work independently with minimal direct supervision

What you’ll need:

  • RN/PT/OT license - must be current.
  • 3+ years of acute care experience
  • Experience in case management
  • Strong interpersonal and communication skills (written and verbal), a high level of organizational effectiveness, and the ability to interface with multiple disciplines.
  • Computer proficiency and technical aptitude with the ability to utilize MS office including Excel Spreadsheets
  • Ability to work both independently and within a team environment.

It’d be a plus if you had:

  • Prior insurance industry experience
  • Experience with Long-Term Disability (LTD) products

#LI-Remote

What we offer you:


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 $82,000.00 to $135,300.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills.
  • 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).

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.  


Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom. 


Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, national origin, genetics, disability, marital status, age, veteran status, domestic partner status, medical condition or any other characteristic protected by law. 


To maintain the integrity and security of our hiring process, Prudential may use identity verification technologies. Your consent will be obtained before any verification takes place.


If you need an accommodation to complete the application process, please email accommodations.hw@prudential.com. 

If you are experiencing a technical issue with your application or an assessment, please email careers.technicalsupport@prudential.com to request assistance.

Related jobs

See all jobs

Other jobs at PGIM Ireland