Clinician

Prudential Ins Co of America in; Fort Washington (Montgomery County); Remote; USD 82,000 - 135,000; Full time

Benefits offered by this job

Medical, dental, vision, life, and LTD

PTO and parental leave

401(k) with company match

Pension plan

Wellness programs

Education benefits

Employee Stock Purchase Plan

Annual incentive program

Total Rewards package

Job summary

Prudential Financial, Inc. is seeking a qualified professional to join the Expert Resource Team supporting Long-Term Disability Claims within Group Insurance.

You will review medical documentation, determine restrictions, and collaborate with clinicians and claims staff to resolve the best course for claim management. The role requires current RN/PT/OT licensure, 3+ years acute care, and strong written and verbal communication, with proficiency in MS Office.

Qualifications

• RN, PT, or OT license - must be current.
• 3+ years of acute care experience.
• Experience in case management.
• Strong interpersonal and communication skills; high level of organizational effectiveness; ability to interface with multiple disciplines.
• Proficiency with MS Office including Excel.

Responsibilities

• Review and assessment of primarily complex illness and injury claims.
• Identify restrictions and limitations based on physiological, psychological, and social factors to assist claim management staff in their claim handling activities.
• Assist in strategy as well as identifying appropriate utilization of additional clinical, vocational, or other resources which will require excellent analytical and critical thinking skills.
• Apply effective written and verbal communication skills to document clinical assessments; contact Treating Providers; engage in discussions with other resources including Disability Claim Team Members, Clinical Peers and Vocational Rehabilitation Counselor.

Skills

Problem solving

Communication skills

Organizational skills

Interdisciplinary collaboration

Education

RN/PT/OT license

Tools

MS Office

Excel

Job description

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! Are you a problem solver who can use critical thinking skills? Are you self-motivated teammate with strong organizational skills? Then this opportunity may be what you are looking for! You will be a member of the Expert Resource Team supporting Long-Term Disability Claims Teams which is part of our Group Insurance Business. We have Long-Term Disability offices in and Newark NJ, Portland ME, and Scottsdale AZ, with many of our staff members working virtually. The current employee work arrangement for this position is fully virtual. 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:

In this role, you will be reviewing medical documentation in case files to make determinations on medically supported restrictions and limitations for clients. Our clinicians work in collaboration with our claims teams, our physicians, our return to work coordinators and vocational departments to resolve the best course for claim management.

Responsibilities for the role:

• Review and assessment of primarily complex illness and injury claims
• Identify restrictions and limitations based on physiological, psychological, and social factors to assist claim management staff in their claim handling activities.
• Assist in strategy as well as identifying appropriate utilization of additional clinical, vocational, or other resources which will require excellent analytical and critical thinking skills
• Apply effective written and verbal communication skills to document clinical assessments; contact Treating Providers; engage in discussions with other resources including but not limited to Disability Claim Team Members, Clinical Peers and Vocational Rehabilitation Counselor Resources Exhibit ability to work independently with minimal direct supervision

What you'll need:

• RN, PT, or OT license - must be current.
• 3+ years of acute care experience
• Experience in case management
• Strong interpersonal and communication skills (written and verbal), a high level of organizational effectiveness, and the ability to interface with multiple disciplines.
• Computer proficiency and technical aptitude with the ability to utilize MS office including Excel Spreadsheets
• Ability to work both independently and within a team environment.

It’d be a plus if you had:

• Prior insurance industry experience
• Experience with Long-Term Disability (LTD) products

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 $82,000.00 to $135,300.00. 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 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).
• 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.

To maintain the integrity and security of our hiring process, Prudential may use identity verification technologies. Your consent will be obtained before any verification takes place. 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.

Prudential Financial, Inc. (NYSE: PRU), a global financial services leader and premier active global investment manager with approximately $1.4 trillion in assets under management as of Dec. 31, 2023, has operations in the United States, Asia, Europe, and Latin America. Prudential’s diverse and talented employees help make lives better and create financial opportunity for more people by expanding access to investing, insurance, and retirement security. Prudential’s iconic Rock symbol has stood for strength, stability, expertise and innovation for 150 years. For more information please visit news.prudential.com.

Our Commitment to an Inclusive Workplace Prudential Financial, Inc. serves its customers in more than 40 countries and territories, and we seek talented, creative individuals from a variety of backgrounds, worldviews, and life circumstances to work with us. We are focused on creating a fully inclusive culture, where all employees feel comfortable bringing their authentic selves to work. We don’t just accept difference—we celebrate it, support it, and thrive on it. At Prudential, employees have a unique opportunity to build their career path by owning their development, their career, and their future. We encourage employees to hone their skills and explore continued opportunities within Prudential. PGIM, the global asset management business of Prudential Financial, Inc. (NYSE: PRU), is a global investment manager with US $1.3 trillion in assets under management as of Dec. 31, 2023. With offices in 18 countries, PGIM’s businesses offer a range of investment solutions for retail and institutional investors around the world across a broad range of asset classes, including public fixed income, private fixed income, fundamental equity, quantitative equity, real estate, and alternatives. For more information about PGIM, visit pgim.com. Prudential Financial, Inc. (PFI) of the United States is not affiliated in any manner with Prudential plc, incorporated in the United Kingdom, or with Prudential Assurance Company, a subsidiary of M&G plc, incorporated in the United Kingdom. For more information please visit news.prudential.com. PGIM Inc. (PGIM) is the principal asset management business of Prudential Financial, Inc. (PFI), a company incorporated and with its principal place of business in the United States. PFI of the United States is not affiliated in any manner with Prudential plc, incorporated in the United Kingdom or with Prudential Assurance Company, a subsidiary of M&G plc, incorporated in the United Kingdom. Our Commitment to an Inclusive Workplace Prudential Financial, Inc. serves its customers in more than 40 countries and territories, and we seek talented, creative individuals from a variety of backgrounds, worldviews, and life circumstances to work with us. We are focused on creating a fully inclusive culture, where all employees feel comfortable bringing their authentic selves to work. We don’t just accept difference—we celebrate it, support it, and thrive on it. At Prudential, employees have a unique opportunity to build their career path by owning their development, their career, and their future. We encourage employees to hone their skills and explore continued opportunities within Prudential.