Disability Claims Specialist
$70.3k - $116.1kPrudential Financial
Job Classification:
Operations - Insurance OperationsAt Prudential we believe talent is key to achieving our vision. When you join Prudential youll unlock a motivating and impactful career all while growing your skills and advancing your profession at one of the worlds leading financial services institutions!
The Long-Term Disability Core Team within the Group Insurance Disability Organization is seeking an experienced and highly motivated individual to join the team as a Disability Claims Specialist . The successful candidate will serve as a Long-Term Disability technical expert applying deep claim management knowledge and sound judgment to guide claim professionals support the Team Lead and promote consistent high-quality claim outcomes.
This role supports the Team Lead by serving as a technical and consultative resource to the team. Key responsibilities include providing technical guidance coaching and actionable feedback; consulting on complex or high-risk claim matters; identifying and analyzing trends; and helping prioritize actions needed to maintain claim block health. The role strengthens claim professional capability and decision quality while claim ownership and execution remain with the assigned claim professional.
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:
- Serve as a Long-Term Disability technical expert and trusted resource to the Team Lead and claim professionals on complex claim management matters.
- Provide technical guidance on policy interpretation medical and vocational considerations claim strategy benefit eligibility and appropriate next steps.
- Coach claim professionals through complex claim scenarios strengthen critical thinking and reinforce consistent effective claim management practices.
- Provide timely actionable feedback that builds technical capability improves execution and supports sound claim decisions.
- Analyze claim activity and outcomes to identify trends emerging risks and opportunities for targeted coaching process improvement or escalation.
- Partner with the Team Lead to monitor and maintain claim block health by analyzing inventory and performance indicators identifying areas of risk recommending priorities and supporting timely follow-through on corrective actions.
- Support the development and delivery of technical training knowledge sharing and skill-building activities for claim professionals.
- Provide consultation on high-risk escalated or technically complex claims by identifying key considerations and recommending approaches aligned with policy provisions procedures and sound Long Term Disability claim management practices.
- Develop update and maintain technical resources procedures job aids and best-practice guidance to promote consistency across the team.
- Support additional technical coaching analytical and operational priorities as assigned based on evolving team and business needs.
What youll need:
- Minimum of 4-5 years of Long-Term Disability claim management experience with demonstrated technical expertise in complex claim evaluation consultation and resolution.
- Advanced knowledge of Long-Term Disability policy provisions medical and vocational considerations benefit calculations Social Security benefits and other deductible sources of income.
- Strong communication consultation presentation and facilitation skills with the ability to clearly explain complex technical information.
- Proven ability to independently analyze complex or high-risk claim scenarios identify key issues and recommend sound claim strategies and next steps.
- Demonstrated success coaching claim professionals providing actionable feedback and building technical capability and critical-thinking skills.
- Ability to interpret claim data inventory indicators and activity trends to identify emerging risks and recommend actions that improve claim quality consistency and block health.
- Ability to adapt technical support coaching and priorities to meet changing team claim block and business needs.
- Proficiency in Microsoft Teams Word and Excel including using data and reporting tools to support trend analysis and claim block oversight.
Prudential welcomes all applicants even if you dont meet every requirement. If your skills align with the role we encourage you to apply.
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 such as on demand resources and networking to propel your career forward.
Were a global organization full of outstandingly dedicated people who arent 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.
#LI-Virtual
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 $70300.00 to $116100.00. 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 $1600 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 .
If you are experiencing a technical issue with your application or an assessment please email to request assistance.
Required Experience:
IC
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