Clinician (Virtual)

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

Job summary

A leading financial services institution is seeking a Virtual Clinician to support Long-Term Disability Claims. This role involves reviewing medical documentation and collaborating with various teams to manage claims effectively. Ideal candidates will have a current RN license and experience in acute care, with strong analytical and communication skills. Competitive salary and benefits are offered.

Benefits

Competitive salaries with yearly bonus potential

Medical, dental, vision, life insurance, disability

401(k) with company match up to 4%

Company-funded pension plan

Wellness programs and up to $1,600/year for wellbeing purchases

Work/Life Resources and Education Benefits

Employee Stock Purchase Plan

Qualifications

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

Responsibilities

• Review and assess complex illness and injury claims.
• Identify restrictions and limitations for claim management.
• Document clinical assessments and communicate 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 a 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 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, physicians, return to work coordinators, and vocational departments to resolve the best course for claim management.

Responsibilities include:

• 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 supervision

Minimum qualifications:

• RN license - must be current
• 2+ years of acute care experience

Preferred qualifications:

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

What we offer:

Salary range: $78,700 - $117,300, varies by location, experience, and skills. Benefits include:

• Competitive salaries with yearly bonus potential
• Medical, dental, vision, life insurance, disability, PTO, and leave options
• 401(k) with company match up to 4%
• Company-funded pension plan
• Wellness programs and up to $1,600/year for wellbeing purchases
• Work/Life Resources and Education Benefits
• Employee Stock Purchase Plan

Additional details about total rewards and legal disclosures are included in the full job posting.

Additional information:

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Health Care Provider

Prudential is an equal opportunity employer. For accommodations or technical support, contact the provided emails.