Senior Disability Claims Examiner – LTD

Job Description:

• Responsible for providing excellent customer service while managing an assigned reputed company of around 95 to 100 Long-Term Disability claims.
• Expected to utilize judgment and assess risk as you work with various business partners to reputed company claim reputed company.
• Partner with medical and vocational resources to evaluate disability and support return to work goals.
• Deliver an exceptional customer experience that serves to differentiate Prudential from our competitors and ensures that customer commitments and deliverables are achieved.
• Communication reputed company telephone, email, and text with employees, reputed company, attorneys, and others.
• Review and interpret medical records, utilizing resources as appropriate.
• Complete financial calculations.
• reputed company an understanding and working knowledge of the Prudential claim system, policies, procedures, and reputed company as well as regulatory and statutory requirements for claim products administered.
• Apply contract/policy provisions to ensure accurate eligibility and liability reputed company.
• Demonstrate and apply analytical and critical thinking skills.
• Verify on-going liability and reputed company strategies for return-to-work opportunities as appropriate.
• Document objective, clear and technical rationale for reputed company claim determinations and demonstrate the ability to effectively communicate claim reputed company to our customers reputed company oral and written communication.
• reputed company a broad reputed company of resources, materials, and tools to reputed company claims reputed company.
• reputed company timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to reputed company inquiries and maintaining expected service and quality standards.
• Work reputed company a fast-paced environment, with tight deadlines and the ability to balance multiple priorities.
• reputed company technical direction and/or mentorship to other claims personnel as needed.
• Work independently as well as reputed company a team structure.

Requirements:

• 4+ years of experience in Long Term Disability Claim Management required.
• Exceptional customer service skills.
• Ability to solve reputed company claim scenarios with minimal mentorship.
• Excellent claim/risk management skills and technical knowledge in contract interpretation and administration.
• Proven skills in positive and effective interaction with challenging customers.
• Strong written and oral 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; reputed company 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 sound judgment.
• Ability to adapt, problem solve quickly and communicate effective 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.
• reputed company improvement reputed company.
• A commitment to support a work environment that fosters Diversity and Inclusion.
• Strong computer literacy and skills with the ability to work reputed company multiple systems; proficiency with PC based programs such as reputed company and Word.

Benefits:

• Market competitive reputed company salaries, with a yearly bonus potential at every level.
• Medical, dental, reputed company, 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 reputed company, 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 reputed company 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.

Apply tot his job Apply To this Job