Associate Disability Claims Examiner (Bilingual Preferred, Remote)

MERCY COLLEGE; Village of Dobbs Ferry (NY); Remote; USD 45,000 - 75,000; Full time

Job summary

Ein innovatives Unternehmen sucht einen Associate Disability Claims Examiner, der Teil eines dynamischen Teams wird. In dieser Rolle sind Sie verantwortlich für die Verwaltung von Langzeitinvaliditätsansprüchen und bieten exzellenten Kundenservice. Sie arbeiten eng mit medizinischen und beruflichen Ressourcen zusammen, um fundierte Entscheidungen zu treffen und die Rückkehr zur Arbeit zu unterstützen. Diese Position erfordert starke analytische Fähigkeiten, hervorragende Kommunikationsfähigkeiten und die Fähigkeit, mehrere Prioritäten zu managen. Wenn Sie eine Leidenschaft für Kundenservice und ein Engagement für kontinuierliche Verbesserung haben, ist dies die perfekte Gelegenheit für Sie.

Qualifications

• Hochschulabschluss und Erfahrung in der Schadensbearbeitung bevorzugt.
• Fähigkeit, mehrere Prioritäten zu managen und Fristen einzuhalten.

Responsibilities

• Verwaltung eines Portfolios von 95-100 Langzeitinvaliditätsansprüchen.
• Dokumentation von Anspruchsinformationen klar und präzise.

Skills

Kundenservicefähigkeiten

Analytische Fähigkeiten

Zeitmanagement

Kommunikationsfähigkeiten

Kritisches Denken

Education

Hochschulabschluss

Tools

PC-Programme (Excel, Word)

Job description

Associate Disability Claims Examiner (Bilingual Preferred, Remote)

Recruitment began on May 4, 2025, and the job listing expires on November 4, 2025.

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 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 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:

1. Demonstrate excellent customer service skills through communication via telephone, email, and text with employees, employers, attorneys, and others.
2. Document claim information clearly and concisely.
3. Understand and apply policy plan provisions.
4. Review medical records and utilize appropriate clinical resources.
5. Complete financial calculations as needed with appropriate resource referrals.
6. Maintain a detail-oriented focus and exceptional time management skills.
7. Support a work environment that fosters Diversity and Inclusion.
8. Proficiency with PC-based programs such as Excel and Word.
9. Adapt quickly, problem-solve, and communicate effective solutions.
10. Maintain a mindset of continuous improvement and manage multiple initiatives simultaneously.

What You’ll Need to Succeed

• Ability to manage multiple and changing priorities.
• Excellent organizational and time management skills with the ability to multitask and prioritize deadlines.
• Strong written and oral communication skills demonstrated in previous work experience.
• Proven ability to interact positively and effectively with challenging customers.
• Experience in meeting/exceeding individual professional expectations and team goals.
• Demonstrated analytical and math skills.
• Ability to exercise sound judgment.
• High flexibility to adapt to organizational needs.
• Strong critical thinking skills and risk management abilities.
• PC skills preferred (e.g., Windows environment).
• College degree and prior claim experience preferred.

This position is virtual; therefore, new hires must be able to provide:

• High-speed internet service in your area, capable of 3.0 Mbps downstream and 768 Kbps upstream. Troubleshooting issues with your provider may be necessary.
• Capability to handle calls via cell phone (unlimited data and minutes) or landline. Your personal phone number will not be visible to customers when logging into Avaya.
• A quiet home environment with minimal distractions and noise.