Senior Disability Claims Examiner, National Accounts Claim Team

Job Classification:

Operations - Insurance Operations

Operations - Insurance Operations

We are seeking a Senior Claim Manager to provide top-tier customer service for a dedicated Group Insurance National Account client. In this role, you will gain a deep understanding of the clients’ culture. You will apply your expert customer service skills to guide and support their employees at the start of their leave and throughout the life cycle of the claim. To ensure a seamless experience for employees, you will work with various products, including Short Term Disability, Absence, Statutory Leaves and Long Term Disability.

Responsibilities:

• Achieve team and individual goals, leverage resources and collaborate with colleagues by sharing best practices and technical direction across 1:1, small group, and team settings.
• Become thoroughly familiar with the clients’ culture and product offerings to deliver exceptional service to both the client and their employees.
• Enhance the claimants’ experience and act as a champion for continuous process improvement.

Qualifications:

• Experience in STD and LTD, FMLA, and/or State Leave adjudication.
• Highly effective in delivering proactive communication across a range of channels, including phone, email, letters, Teams messaging, group Teams calls, and one-on-one video calls, to support an exceptional customer experience.
• Customer-focused, with a proven ability to create and maintain strong customer relationships.
• Skilled and confident in communicating difficult messages.
• Excellent documentation skills to accurately capture telephone conversations, create clear, concise claim plans, and write detailed decision letters.
• Ability to understand and interpret complex and non-standard policy and plan provisions.
• Strong ability to independently navigate ambiguous situations and adapt quickly when needed.
• Excellent organizational and time management skills.

Work Environment:

Occasional travel to an office location may be required.

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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 $61,700.00 to $101,900.00. 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), 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.