Prudential Financial · 4 hours ago
Senior Disability Claims Examiner (LTD)
Prudential Financial is a company of smart, ambitious professionals working together to build a better financial future. The Senior Disability Claims Examiner is responsible for managing a block of Long-Term Disability claims, providing excellent customer service, and collaborating with various business partners to render claim decisions.
Asset ManagementFinanceFinancial ExchangesFinancial ServicesHealth CareInsuranceRetirement
Responsibilities
Deliver an exceptional customer experience that serves to differentiate Prudential from our competitors and ensures that customer commitments and deliverables are achieved
Communication via telephone, email, and text with employees, employers, attorneys, and others
Review and interpret medical records, utilizing resources as appropriate
Complete financial calculations
Gain an understanding and working knowledge of the Prudential claim system, policies, procedures, and contracts as well as regulatory and statutory requirements for claim products administered
Apply contract/policy provisions to ensure accurate eligibility and liability decisions
Demonstrate and apply analytical and critical thinking skills
Verify on-going liability and develop strategies for return-to-work opportunities as appropriate
Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication
Leverage a broad spectrum of resources, materials, and tools to render claims decisions
Provide timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to all inquiries and maintaining expected service and quality standards
Work within a fast-paced environment, with tight deadlines and the ability to balance multiple priorities
Provide technical direction and/or mentorship to other claims personnel as needed
Work independently as well as within a team structure
Qualification
Required
4+ years of experience in Long Term Disability Claim Management required
Exceptional customer service skills
Ability to solve complex claim scenarios with minimal mentorship
Excellent claim/risk management skills and technical knowledge in contract interpretation and administration
Proven skills in positive and effective interaction with challenging customers
Strong written and oral communication skills demonstrated in previous work experience (preference for bilingual verbal communication in Spanish and English)
Excellent organizational and time management skills with ability to multitask and prioritize deadlines
Ability to manage multiple and changing priorities
Detail oriented; able to analyze and research contract information
Demonstrated ability to operate with a sense of urgency
Experience in effectively meeting/exceeding individual professional expectations and team goals
Demonstrated analytical and math skills
Ability to exercise critical thinking skills, risk management skills and sound judgment
Ability to adapt, problem solve quickly and communicate effective solutions
High level of flexibility to adapt to the changing needs of the organization
Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment
Continuous improvement mindset
A commitment to support a work environment that fosters Diversity and Inclusion
Strong computer literacy and skills with the ability to work within multiple systems; proficiency with PC based programs such as Excel and Word
Benefits
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.
Company
Prudential Financial
Prudential Financial specializes in the fields of investment management, life insurance, and retirement benefits. It is a sub-organization of Prudential Financial.
H1B Sponsorship
Prudential Financial has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2023 (1)
Funding
Current Stage
Public CompanyTotal Funding
$1.25BKey Investors
AM Best
2025-03-13Post Ipo Debt· $750M
2024-02-14Post Ipo Debt· $500M
2001-12-13IPO
Leadership Team
Recent News
2026-01-03
MarketScreener
2025-12-18
Company data provided by crunchbase