Associate Disability Claims Examiner (Bilingual Preferred, Remote)

Prudential Financial; Portland (ME); Remote; USD 43,000 - 65,000; Full time

Job summary

Ein etabliertes Unternehmen sucht einen Associate Disability Claims Examiner, der exzellenten Kundenservice bietet und Langzeit-Invaliditätsansprüche verwaltet. In dieser Rolle sind Sie verantwortlich für die Beurteilung von Ansprüchen, die Zusammenarbeit mit medizinischen Fachleuten und die Unterstützung von Rückkehrzielen. Sie sollten über starke analytische Fähigkeiten verfügen und in der Lage sein, mehrere Prioritäten zu managen. Diese Position bietet die Möglichkeit, in einem dynamischen Team zu arbeiten und sich in einem unterstützenden Umfeld weiterzuentwickeln, das Vielfalt und Inklusion fördert. Wenn Sie eine Leidenschaft für Kundenservice und eine Karriere im Versicherungswesen haben, könnte dies die perfekte Gelegenheit für Sie sein.

Benefits

Jährlicher Bonus

Krankenversicherung

401(k) mit Unternehmensbeitrag

Betriebliche Altersvorsorge

Wellness-Programme

Bildungsbenefit

Mitarbeiteraktienkaufplan

Qualifications

• Erfahrung im Kundenservice und im Umgang mit herausfordernden Kunden.
• Fähigkeit, mehrere Prioritäten gleichzeitig zu managen.

Responsibilities

• Verwaltung von 95 bis 100 Langzeit-Invaliditätsansprüchen.
• Zusammenarbeit mit medizinischen und beruflichen Ressourcen zur Evaluierung von Invalidität.

Skills

Kundenservice

Analytische Fähigkeiten

Zeitmanagement

Kommunikationsfähigkeiten

Urteilsvermögen

Education

Bachelorabschluss

Tools

Microsoft Excel

Microsoft Word

Avaya

Job description

Job Classification:
Operations - Insurance Operations

Associate Disability Claims Examiner:

Prudential is a company of smart, ambitious professionals working together across a multitude of disciplines. Together, we are building a better financial future for our customers and our communities around the globe. At Prudential, we understand that a company is only as good as its people. This simple fact is central to all that we do.

The Team

You will be part of the Long-Term Disability (LTD) Claims team which is part of our Group Insurance Business. We have Long-Term Disability teams based out of NJ, ME, AZ as well as fully remote teams.

The Role

The LTD Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. You will be expected to utilize judgment and assess risk as you work with various business partners to render claim decisions. As a claim manager you will partner with medical and vocational resources to evaluate disability and support return to work goals. Additional responsibilities include:

• Demonstrate excellent customer service skills through communication via telephone, email, and text with employees, employers, attorneys, and others.
• Document claim information in a clear and concise manner.
• Understand and apply policy plan provisions
• Review medical records and utilize appropriate clinical resource(s).
• Complete financial calculations as needed with appropriate resource referrals.
• A detail-oriented focus and exceptional time management skills
• A commitment to support a work environment that fosters Diversity and Inclusion
• Proficiency with PC-based programs such as Excel and Word
• Ability to adapt, problem solve quickly and communicate effective solutions
• Continuous improvement mindset coupled with a knack for managing initiatives simultaneously

What You'll Need to Succeed:

• Ability to manage multiple and changing priorities
• Excellent organizational and time management skills with ability to multitask and prioritize deadlines
• Strong written and oral communication skills demonstrated in previous work experience
• Proven skills in positive and effective interaction with challenging customers
• Experience in effectively meeting/exceeding individual professional expectations and team goals.
• Demonstrated analytical and math skills
• Ability to exercise sound judgment
• High level of flexibility to adapt to the needs of the organizations
• Strong critical thinking skills and risk management

It'd Be a Plus If You Have:

o PC skills preferred (i.e. Windows based environment)
o College degree and prior claim experience preferred

This position will work virtually, therefore new hires must be able to provide the following:

• High speed internet service must be available in your area. You must be willing to troubleshoot any issues or outages with your home internet service, contacting your service provider as necessary. The internet service cannot be wireless, and the internet speed requirement is: 3.0 mg downstream and 768k upstream.
• Must have the capability to handle calls with a cell phone (would need to have unlimited data and minutes) or a landline. You will be logging into Avaya therefore your personal phone number will not be identified to customers.
• Quiet area in your home with minimal distractions and noise free.

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 $43,600.00 to $64,800.00. 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 Programsincluding 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 [e-mail].

If you are experiencing a technical issue with your application or an assessment, please email [e-mail] to request assistance.