Prudential Financial
Senior Disability Claims Examiner
Operations – Insurance Operations
Senior Level Claim Manager role providing concierge-level customer service to one of Group Insurance’s largest clients. By gaining a deep understanding of the client’s culture and using expert customer service skills, the Senior Claim Manager will take a consultative approach in guiding and coaching our client’s employees through the life cycle of a disability claim. With exposure to multiple products, including Short Term Disability, Statutory Leaves, Absence, Long Term Disability, and Life Waiver of Premium, the Senior Claim Manager will deliver world-class service that ensures a more effortless experience for the employee.
As an exceptional collaborator, the Senior Claim Manager will engage Expert Resources to further enhance the claim journey, addressing Behavioral Health and Vocational opportunities within their block of claims. This Concierge Team Member will interact directly with the Leave team at the client during quarterly virtual meetings and interface daily with the client’s Benefits Business Partners.
As an innovator, the Senior Claim Manager will seek opportunities to further enhance the claimant experience and serve as an ambassador for continuous process improvement within the Concierge Team.
The Senior Level Claims Manager is responsible for providing excellent customer service while managing an assigned block of around 75 Long-Term Disability (LTD) and Short-Term Disability (STD) claims. The block will fluctuate, and the Senior Claims Manager will oversee a block of complex claims, including those with co‑morbidities, behavioral health issues, and self‑reported symptoms.
Qualifications
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
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
Remote Work Standards
Subscribe to an internet service provider plan with at least 25 Mbps download speeds and be willing to troubleshoot issues.
Have a suitable phone with unlimited data and minutes; personal number will not be identified to customers.
Quiet home area with minimal distractions and noise‑free.
Reliability and dependability throughout training program are required.
Compensation & Benefits Salary range: $64,100.00 – $95,300.00 (location dependent).
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 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 an approved degree and 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.
Eligible for discretionary annual incentive program subject to governing rules.
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.
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.
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Senior Level Claim Manager role providing concierge-level customer service to one of Group Insurance’s largest clients. By gaining a deep understanding of the client’s culture and using expert customer service skills, the Senior Claim Manager will take a consultative approach in guiding and coaching our client’s employees through the life cycle of a disability claim. With exposure to multiple products, including Short Term Disability, Statutory Leaves, Absence, Long Term Disability, and Life Waiver of Premium, the Senior Claim Manager will deliver world-class service that ensures a more effortless experience for the employee.
As an exceptional collaborator, the Senior Claim Manager will engage Expert Resources to further enhance the claim journey, addressing Behavioral Health and Vocational opportunities within their block of claims. This Concierge Team Member will interact directly with the Leave team at the client during quarterly virtual meetings and interface daily with the client’s Benefits Business Partners.
As an innovator, the Senior Claim Manager will seek opportunities to further enhance the claimant experience and serve as an ambassador for continuous process improvement within the Concierge Team.
The Senior Level Claims Manager is responsible for providing excellent customer service while managing an assigned block of around 75 Long-Term Disability (LTD) and Short-Term Disability (STD) claims. The block will fluctuate, and the Senior Claims Manager will oversee a block of complex claims, including those with co‑morbidities, behavioral health issues, and self‑reported symptoms.
Qualifications
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
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
Remote Work Standards
Subscribe to an internet service provider plan with at least 25 Mbps download speeds and be willing to troubleshoot issues.
Have a suitable phone with unlimited data and minutes; personal number will not be identified to customers.
Quiet home area with minimal distractions and noise‑free.
Reliability and dependability throughout training program are required.
Compensation & Benefits Salary range: $64,100.00 – $95,300.00 (location dependent).
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 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 an approved degree and 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.
Eligible for discretionary annual incentive program subject to governing rules.
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.
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.
#J-18808-Ljbffr