Integrated Disability Claims Examiner

About this role

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!  

As a   Disability Claims Examiner supporting our customers during some of the most important moments of their lives. You will manage a caseload of Short Term Disability and Absence claims , applying sound judgment, analytical   expertise , and empathy to deliver   optimal   claims handling and   timely ,   accurate   decisions.  

This role offers the opportunity to make a meaningful impact while working in a collaborative, performance driven environment that values quality, accountability, and professional growth.  

The current employee work arrangement for this position is   fully virtual   and has an estimated start time between 7am and 9am EST . 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:  

• Accurately manage a block of   Short Term Disability and Absence   claims by applying contract/policy provisions,   leveraging   available resources and tools, and ensuring correct eligibility and liability determinations.  

• Review and interpret medical records, complete financial calculations, and apply analytical and critical thinking skills to support sound claim decisions.  

• Deliver an exceptional, differentiating customer experience by communicating claim decisions clearly and effectively via phone, email, text, and written correspondence to employees, employers, attorneys, and other stakeholders.  

• Document objective, clear, and technical rationale for all claim determinations while   maintaining   knowledge of Prudential's systems, policies, procedures, contracts, and all applicable regulatory and statutory requirements.  

• Verify continued liability on active claims and develop strategies for return-to-work opportunities where   appropriate .  

• Pay   appropriate claims   accurately and   timely , respond to all inquiries, and consistently meet expected service and quality benchmarks.  

What you’ll need:  

• Open to candidates with diverse professional backgrounds, including hospitality, case management, absence management, and short‑term disability functions.

• Ability to work effectively in a   fast paced   environment, managing competing priorities with strong organizational and   time management   skills.  

• Demonstrated success in achieving individual development goals and performance objectives.  

• Excellent analytical, critical thinking, and decision-making skills.  

• Strong written and verbal communication skills, with the ability to explain complex decisions clearly.  

• Proven customer service skills with a genuine commitment to helping others.  

• Ability to adapt and thrive in a changing, evolving organization.  

• Proficiency   in a   Windows based   environment, including Word, Excel, and PowerPoint.  

• Highly organized, goal-oriented, and able to manage multiple priorities effectively.  

It’d   be   a plus if you had:   

• 2–3 years of experience managing Short Term Disability and/or Absence claims.

• Previous knowledge of claim and risk management, including contract interpretation and administration.

• College degree preferred or equivalent relevant experience.  

Additional Requirements:  

This position will work virtually; therefore, new hires must be able to provide the following & all new hires who work remotely will be held accountable to these standards:  

• Subscribe to internet service provider plan with at least 25 Mbps download speeds. You must be willing to troubleshoot any issues or outages with your home internet service, contacting your service provider as necessary.   

• Quiet area in your home with minimal distractions and noise free.  

• Reliability and Dependability throughout our extensive training program is required.  

Prudential welcomes all applicants, even if you don't 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.

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.  

#LI-MG1

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 $53,300.00 to $88,000.00. 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 top

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