Senior Disability Claims Examiner (LTD) (Virtual)

Job Overview Job Classification: Operations – Insurance Operations Senior Disability Claims Examiner at Prudential. The Long‑Term Disability (LTD) Senior Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long‑Term Disability claims. Responsibilities Deliver an exceptional customer experience that differentiates Prudential and meets customer commitments. Communicate 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 of the Prudential claim system, policies, procedures, contracts, and regulatory requirements for LTD claims. Apply contract/policy provisions to ensure accurate eligibility and liability decisions. Use analytical and critical‑thinking skills to assess risk and make claim decisions. Verify ongoing liability and develop strategies for return‑to‑work opportunities as appropriate. Document objective, clear, and technical rationale for all claim determinations. Leverage a broad spectrum of resources, materials, and tools to render claims decisions. Provide timely and accurate payment of claims, responding to all inquiries, and maintaining service and quality standards. Work within a fast‑paced environment with tight deadlines and balance multiple priorities. Provide technical direction and/or mentorship to other claims personnel as needed. Work independently as well as within a team structure. Qualifications 4+ years of experience in Long‑Term Disability claim management. 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 ability to interact positively with challenging customers. Strong written and oral communication skills; bilingual Spanish/English preferred. Excellent organizational and time‑management skills, able to multitask and prioritize deadlines. Detail‑oriented with strong analytical and math skills; able to research contract information. Demonstrated sense of urgency and ability to meet/exceed professional expectations and team goals. Ability to exercise critical thinking, risk management, and sound judgment. Adaptable, problem‑solving quickly, and communicate effective solutions. High level of flexibility to adapt to changing organizational needs. Self‑motivated, independent, and effective in a collaborative team environment. Continuous improvement mindset. Commitment to a work environment that fosters diversity and inclusion. Strong computer literacy; proficient with Excel, Word, and other PC‑based programs. Salary Range $61,700 – $101,900 (actual salary based on location, experience, and skills). Benefits Medical, dental, vision, life, and disability insurance. Paid Time Off (PTO) and leave of absence including parental, military, and other statutory leave. 401(k) retirement plan with company match up to 4%. Company‑funded pension plan. Wellness program with up to $1,600 per year for wellness‑related items. Work‑Life resources covering parenting, housing, senior care, finances, emotional and mental health, and career development. Education benefits to support traditional college enrollment and accredited certificate programs. Employee Stock Purchase Plan (ESPP) and eligibility for a discretionary annual incentive program. Equal Opportunity Employment Prudential Financial, Inc. 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, genetics, disability, marital status, age, veteran status, domestic partner status, 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. #J-18808-Ljbffr Prudential Annuities Distributors (PAD)