Disability Claims Examiner II (Bilingual Preferred, Remote)

Prudential Financial; Portland (ME); Remote; USD 55,000 - 83,000; Full time

Job summary

A leading financial services company is seeking a Disability Claims Examiner II to manage long-term disability claims. This role requires exceptional customer service and analytical skills. You will collaborate with various stakeholders to assess claims and support return-to-work initiatives. The position is remote and offers competitive salary and benefits.

Benefits

Comprehensive health, dental, vision, life, and disability insurance

Paid Time Off

401(k) with company match

Employee stock purchase plan

Qualifications

• 2-3 years of experience in Long-Term Disability Claim Management.
• Bilingual in Spanish and English preferred.

Responsibilities

• Manage approximately 95 to 100 claims, providing excellent customer service.
• Review and interpret medical records and complete financial calculations.
• Document claim decisions clearly and communicate effectively.

Skills

Customer Service

Communication

Analytical Skills

Problem-Solving

Tools

Excel

Word

Job description

Disability Claims Examiner II (Bilingual Preferred, Remote)

Join to apply for the Disability Claims Examiner II (Bilingual Preferred, Remote) role at Prudential Financial.

Job Overview

As a Long-Term Disability (LTD) Claims Examiner, you'll manage approximately 95 to 100 claims, providing excellent customer service and utilizing judgment to assess risk and make claim decisions. You'll collaborate with medical and vocational resources to evaluate disability status and support return-to-work initiatives.

Responsibilities

• Deliver exceptional customer service to differentiate Prudential and meet commitments.
• Communicate via phone, email, and text with employees, employers, attorneys, and other stakeholders.
• Review and interpret medical records and complete financial calculations.
• Understand and apply Prudential's claim system, policies, procedures, and regulatory requirements.
• Apply contract provisions to ensure accurate eligibility and liability decisions.
• Use analytical and critical thinking skills to verify ongoing liability and develop return-to-work strategies.
• Document claim decisions clearly and communicate effectively with customers.
• Leverage resources and tools to make informed claims decisions.
• Maintain timely and accurate claims processing, responding to inquiries and upholding quality standards.
• Work efficiently in a fast-paced environment, balancing multiple priorities independently and within a team.

Qualifications

• 2-3 years of experience in Long-Term Disability Claim Management or relevant field.
• Exceptional customer service and communication skills, bilingual in Spanish and English preferred.
• Strong organizational, time management, and multitasking abilities.
• Attention to detail, analytical skills, and sound judgment.
• Ability to adapt, problem-solve, and work collaboratively in a dynamic environment.
• Proficiency with computer systems, including Excel and Word.

Benefits

The salary range is $55,300 to $82,300, depending on location, experience, and skills. Additional benefits include:

• Competitive salary with bonus potential.
• Comprehensive health, dental, vision, life, and disability insurance.
• Paid Time Off, parental and military leave.
• 401(k) with company match, pension plan.
• Wellness programs, work/life resources, education benefits, employee stock purchase plan.

Additional Information

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