Clinician (Virtual)

Prudential Financial; Illinois; Remote; USD 78,000 - 118,000; Full time

Job summary

Prudential Financial is seeking a Clinician (Virtual) to join their Expert Resource Team. This role involves reviewing medical documentation for Long-Term Disability claims and collaborating with various teams to manage claims effectively. Candidates should possess a current RN license and have at least 2 years of acute care experience. This fully virtual position offers competitive salaries and a comprehensive benefits package, including medical, dental, and a 401(k) plan.

Benefits

Medical, dental, and vision insurance

401(k) plan with company match

Company-funded pension plan

Wellness Programs reimbursement

Education Benefit for college enrollment

Employee Stock Purchase Plan

Paid Time Off (PTO)

Qualifications

• Current RN license is required.
• 2+ years of acute care experience preferred.

Responsibilities

• Review and assess complex illness and injury claims.
• Identify restrictions and limitations for claim management.
• Document clinical assessments and engage with providers.

Skills

Critical thinking

Organizational skills

Analytical skills

Communication skills

Education

RN license

Job description

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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 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.

Here are some of the 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 license - must be current
• 2+ years of acute care experience
  
  

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 $78,700.00 to $117,300.00. 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), 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.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

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