Associate Disability Claims Examiner (Bilingual Preferred) at Prudential Ins Co of America

Posted in Insurance 18 days ago.

Type: Full-Time
Location: Newark, New Jersey





Job Description:

Job Classification:

Operations - Insurance Operations

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

The Role

The LTD Associate Disability Claims Examiner is an entry level position. This role is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. The Examiner is 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:


  • Deliver an outstanding 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, applying 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 ongoing 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

  • Work independently as well as within a team structure

What You’ll Need to Succeed:


  • Customer service skills

  • Strong written and verbal 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 good judgment.

  • Ability to adapt, problem solve quickly and communicate constructive 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 demeanor

  • A dedication to support a work environment that fosters Diversity and Inclusion

  • Successful digital literacy and skills with the ability to work within multiple systems.

It’d Be a Plus If You Have:


  • Bi-Lingual in Spanish and English languages

  • College degree and/or prior claim experience

  • Proficiency with PC-based programs such as Excel and Word

At Prudential, you can:

Take charge of your career. We equip and empower our employees to expand their skills and experience by using powerful learning, gigs, and job opportunities. We offer a suite of services including 1:1 Career advice, on demand resources and networking to propel your career forward.

We’re a global organization, full of outstandingly dedicated people who aren’t afraid to think differently, challenge the status quo and take sensible risks along the way. You will enjoy pushing boundaries as we build innovative technology that helps clients, customers and employees live their best lives. You will have access to leadership and learning opportunities and the resources needed to take your career in any direction. We will help you do your best work, offering flexibility, while delivering on our Purpose.

What we offer you:


  • Market driven 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.


  • Retirement plans: 401(k) plan with company match (up to 4%)


  • 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.


  • Tuition Assistance to help finance traditional college enrollment toward obtaining an approved degree, many accredited certificate programs, and industry designations.

To find out more about our Total Reward 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.

RSRPRUD

Note: 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 $42,500.00 to $63,300.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills. Roles may also be eligible for additional compensation and/or benefits. 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. In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement.

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

Prudential is a multinational financial services leader with operations in the United States, Asia, Europe, and Latin America. Leveraging its heritage of life insurance and asset management expertise, Prudential is focused on helping individual and institutional customers grow and protect their wealth. The company's well-known Rock symbol is an icon of strength, stability, expertise and innovation that has stood the test of time. Prudential's businesses offer a variety of products and services, including life insurance, annuities, retirement-related services, mutual funds, asset management, and real estate services.

We recognize that our strength and success are directly linked to the quality and skills of our diverse associates. We are proud to be a place where talented people who want to make a difference can grow as professionals, leaders, and as individuals. Visit www.prudential.com to learn more about our values, our history and our brand.

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. 

The Prudential Insurance Company of America, Newark, NJ and its affiliates.

Note that this posting is intended for individual applicants. Search firms or agencies should email Staffing at staffingagencies@prudential.com for more information about doing business with Prudential.

PEOPLE WITH DISABILITIES:
If you need an accommodation to complete the application process, which may include an assessment, please email accommodations.hw@prudential.com.

Please note that the above email is solely for individuals with disabilities requesting an accommodation.  If you are experiencing a technical issue with your application or an assessment, please email careers.technicalsupport@prudential.com to request assistance.





More jobs in Newark, New Jersey


Prudential Ins Co of America

Prudential Ins Co of America

Prudential Ins Co of America
More jobs in Insurance


Allied World

Kimberly-Clark USA, LLC

Allied World