Clinician (Virtual)

Prudential Financial; Texas; 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. The role involves reviewing medical documentation, assessing claims, and collaborating with various teams. Candidates should have a current RN license and a minimum of 2 years of acute care experience. Competitive salaries, bonuses, and comprehensive benefits are offered.

Benefits

Competitive salaries

Bonuses

Comprehensive benefits including health insurance

401(k) and pension plans

Wellness programs

Educational benefits

Employee stock purchase plan

Qualifications

• Current RN license required.
• 2+ years of acute care experience preferred.
• Prior insurance industry experience is a plus.

Responsibilities

• Review and assess complex illness and injury claims.
• Identify restrictions and limitations for claim management.
• Communicate effectively in writing and verbally.

Skills

Critical thinking

Organizational skills

Communication

Education

Current 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 with critical thinking skills? Are you a self-motivated team player 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 staff working virtually.

The current employee work arrangement for this position is fully virtual. While this position does not require your on-site presence regularly, there may be occasions where on-site presence at a Prudential office is necessary.

What you can expect:

In this role, you will review medical documentation in case files to determine medically supported restrictions and limitations for clients. Our clinicians collaborate with claims teams, physicians, return-to-work coordinators, and vocational departments to manage claims effectively.

Responsibilities include:

• Review and assess complex illness and injury claims
• Identify restrictions and limitations based on physiological, psychological, and social factors to assist claim management
• Assist in strategy and utilize additional clinical, vocational, or other resources, requiring analytical and critical thinking skills
• Communicate effectively in writing and verbally to document assessments, contact providers, and engage with team members and other resources
• Work independently with minimal supervision

Minimum requirements:

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

Preferred qualifications:

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

What we offer:

The salary range for this role is from $78,700 to $117,300, varying by location, experience, and skills. We provide competitive salaries, bonuses, comprehensive benefits including health insurance, 401(k), pension, wellness programs, educational benefits, employee stock purchase plan, and more.

Prudential is an equal opportunity employer and values diversity. For accommodations during the application process, contact [e-mail]. For technical support, contact [e-mail].

Additional Information:

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