Group Insurance Team Lead, Claims
$89k - $147kPrudential Financial
Overview Job Classification: Operations - Insurance Operations At Prudential, we believe talent is key to achieving our vision. When you join Prudential, you’ll unlock a motivating and impactful career – all while growing your skills and advancing your profession at one of the world’s leading financial services institutions! For over 150 years, Prudential’s diverse and talented employees have been committed to helping employees and their families grow and protect their wealth through a variety of products and services, including Group Disability Insurance. We are known for delivering on our promise to our customers and are recognized as a trusted brand and one of the world’s most admired companies. We measure our long-term success on our ability to deliver value for shareholders, meet customer needs, attract and develop the best talent in our industry, offer an inclusive work environment where employees can develop to their full potential and give back to the communities where we live and work. We are committed to keeping our promises and doing business the right way. The Team Lead, Short-Term Disability/Absence and Paid Leave Claims will deliver benefit experiences that help create and protect financial wellness, making a meaningful impact in the lives of our customers and our communities. What You Can Expect Lead the team to achieve customer service and claims management excellence. Ensure accuracy of benefits paid on disability claims based on the deductible sources of income (offsets) and other contractual provisions outlined within the certificates. Monitor, track and analyze reporting to ensure appropriate offset management of claims. Develop effective action plans that result in improved team and individual performance. Build and maintain internal and external customer relationships. Provide direct reports with ongoing support, appropriate training, positive/constructive feedback, coaching and recognition in an inclusive manner. Drive employee engagement and continuous process improvement to remove barriers and enhance team effectiveness. Provide for business continuity by identifying potential successors and emerging leaders for the key leadership positions on your teams. Ensure team is in compliance with their obligations regarding risk identification, risk assessment and risk monitoring, control, and escalation. What You’ll Need Minimum of three years in a Group Insurance Operations or claims experience required. A proven understanding of STD/Absence/Paid Leave claim management processes and offset management required. Strong critical thinking, mathematical, problem solving, decision making, and analytical skills required. Detail oriented with solid interpersonal skills. Proven strong Customer Service skills. Prior coaching, mentorship or leadership skills is a must. Ability to problem solve independently. Proven focus on continuous improvement. Ability to collaborate across business. Strong communication (verbal and written) and time management skills required. Proficiency in Teams, MS Word, and Excel. It’d Be a Plus If You Had Bachelor’s Degree preferred. Direct supervisory experience. 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 $89,000.00 to $147,000.00. 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. 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 View email address on click.appcast.io. If you are experiencing a technical issue with your application or an assessment, please email View email address on click.appcast.io to request assistance. #J-18808-Ljbffr Prudential Financial
$193.87k - $276.96k
...’s Transportation Business Group, you’ll help shape the systems... ...a job, it’s a chance to lead progress, drive meaningful... ...reviews and support project teams with management of claims and losses. Participate in... ...long‑term disability, life insurance, an employee assistance program...ClaimsFull timeTemporary workPart timeWork at officeLocal area- Prudential Ins Co of America is seeking a Head of Stop Loss Claims to spearhead the claims organization and drive strategic leadership... ...excellence. The ideal candidate will have over 10 years in group insurance claims, focusing on medical stop loss, with strong leadership...Claims
$70.3k - $116.1k
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...you will serve as the single point of contact for a book of Group Health Insurance clients. You will own, manage, and service the entire relationship... ...issues such as enrollments, carrier billing, coverage, and claims. Maintain accurate records of all client interactions,...ClaimsMinimum wageTemporary workWork at officeLocal area- ...of our Water Business Group, you’ll help shape how... ...job, it’s a chance to lead change, drive progress,... ...develop multidisciplinary teams. Supervise senior engineers... ...and resolution of claims. Ensure the best technology... ...-term disability, life insurance, an employee assistance...ClaimsContract workTemporary workLocal area
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$70.5k - $94.4k
...manages Special Investigations Unit pended claims to meet service level agreements and Blue... ...employees, subscribers, providers, and groups. Obtain documentation such as claims forms... .... Minimum 2years of experience in health‑insurance quality chart audits and/or utilization...ClaimsWork at office$193.87k - $276.96k
A leading engineering firm is seeking a NY/NJ Transportation Business Group Professional Services Leader to oversee technical and staffing resources across New York and New Jersey. The position requires a Bachelor's degree and extensive leadership experience. Responsibilities...$259.35k - $288.16k
...to join our National Buildings Group As the Northeast Regional... ...regional offices to shape strategy, lead marquee pursuits, and elevate... ...scope, delivery strategy, and teaming. Build and lead high‑... ...the following benefits Health insurance, including an option with a Health...Work at officeRemote workFlexible hours$63.27k - $153.2k
IAT Insurance Group has an immediate opening for Senior Inland Marine & Property Underwriter from our Jersey City or Newark, New... ...coverage intent is clear—for both brokers and internal teams Partner with claims and internal stakeholders to clarify coverage when questions...ClaimsWork at officeImmediate startRemote work$116k - $231k
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RadNet, Inc. is looking for a Claims Team Lead - Medical Management to work in Port Reading, New Jersey. This role involves overseeing a team of medical professionals, ensuring department quality assurance, and managing compliance standards. The ideal candidate should...Claims$70.5k - $94.4k
...fraudulent activity. Manage the Special Investigations Unit pended claims to insure we are meeting SLAs and service standards associated with ASO... .../documents concerning employees, subscribers, providers and groups.* Obtain documentation, claims forms, checks, medical records...ClaimsLive inLocal area- ...Job Summary The Lead Contract Specialist leads complex procurement and contract administration activities, managing large-scale solicitations... ...contract performance, renewals, amendments, disputes, and claims. Administer contracts in compliance with federal, state, and...ClaimsContract workWork at office
$70k - $80k
...communications, and drafting legal documents. The ideal candidate should possess an AA degree and extensive experience with personal injury claims as well as solid organizational skills. Compensation ranges from $70,000 to $80,000 annually, based on experience and...Claims$70k - $80k
...Trustpoint.One is partnering with a growing legal team to identify a Senior Single-Event Manager... ...all phases of single-event injury claims, from initial intake through settlement... ...personal injury, medical malpractice, or insurance defense experience who enjoys managing cases...ClaimsPermanent employmentFull timeWork at officeMonday to Friday- ...A leading insurance adjustment company in South Orange, New Jersey, is seeking an Independent Insurance Claims Adjuster. This role offers the chance to help people and businesses rebuild after disasters while enjoying flexibility and autonomy in your work. Candidates...ClaimsFlexible hours
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$70k - $120k
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$83k - $107k
The Claims Team Lead - Medical Management, is responsible for assisting with the oversight of a team of medical professionals. In this role... .... RN or LPN preferred but not required. Experience with insurance fraud identification. Functional knowledge of medical terminology...Claims- Metropolitan YMCA Of The Oranges Inc. seeks a Group Leader to assist the Site Supervisor in daily... ...After Care program. You will supervise children, lead activities, ensure safety, and support homework and snacks within a team environment. The role emphasizes strong...
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