Disability Claims Specialist

Prudential Financial; New Mexico; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical and dental benefits

Vision benefits

PTO

Pension plan

Wellness program

Education benefit

Employee stock purchase plan

Job summary

Prudential Financial seeks a Disability Claims Specialist to act as the Long-Term Disability technical expert, guiding claim professionals and ensuring high-quality outcomes. You will coach team members, consult on complex cases, and support claim block health with data-driven oversight.

The role emphasizes technical guidance on policy, medical/vocational considerations, and risk-based decision making, with opportunities to influence training and process improvements.

Qualifications

• Minimum of 3 years of Long-Term Disability claim management experience with demonstrated technical expertise in complex claim evaluation, consultation, and resolution.
• Advanced knowledge of Long-Term Disability policy provisions, medical and vocational considerations, benefit calculations, Social Security benefits, and other deductible sources of income.
• Proven ability to independently analyze complex or high-risk claim scenarios, identify key issues, and recommend sound claim strategies and next steps.
• Demonstrated success coaching claim professionals, providing actionable feedback, and building technical capability and critical-thinking skills.

Responsibilities

• Serve as a Long Term Disability technical expert and trusted resource to the Team Lead and claim professionals on complex claim management matters.
• Provide technical guidance on policy interpretation, medical and vocational considerations, claim strategy, benefit eligibility, and appropriate next steps.
• Coach claim professionals through complex claim scenarios, strengthen critical thinking, and reinforce consistent, effective claim management practices.
• Provide timely, actionable feedback that builds technical capability, improves execution, and supports sound claim decisions.
• Analyze claim activity and outcomes to identify trends, emerging risks, and opportunities for targeted coaching, process improvement, or escalation.
• Partner with the Team Lead to monitor and maintain claim block health by analyzing inventory and performance indicators, identifying areas of risk, recommending priorities, and supporting timely follow-through on corrective actions.

Skills

Long-Term Disability

Claim management

Technical guidance

Coaching

Data analysis

Microsoft Teams

Microsoft Excel

Tools

Microsoft Teams

Microsoft Word

Microsoft 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!

The Long-Term Disability Core Team, within the Group Insurance Disability Organization, is seeking an experienced and highly motivated individual to join the team as a Disability Claims Specialist . The successful candidate will serve as a Long Term Disability technical expert, applying deep claim management knowledge and sound judgment to guide claim professionals, support the Team Lead, and promote consistent, high-quality claim outcomes.

This role supports the Team Lead by serving as a technical and consultative resource to the team. Key responsibilities include providing technical guidance, coaching, and actionable feedback; consulting on complex or high-risk claim matters; and helping prioritize actions needed to maintain claim block health. The role strengthens claim professional capability and decision quality while claim ownership and execution remain with the assigned claim professional.

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.

• Serve as a Long Term Disability technical expert and trusted resource to the Team Lead and claim professionals on complex claim management matters.
• Provide technical guidance on policy interpretation, medical and vocational considerations, claim strategy, benefit eligibility, and appropriate next steps.
• Coach claim professionals through complex claim scenarios, strengthen critical thinking, and reinforce consistent, effective claim management practices.
• Provide timely, actionable feedback that builds technical capability, improves execution, and supports sound claim decisions.
• Analyze claim activity and outcomes to identify trends, emerging risks, and opportunities for targeted coaching, process improvement, or escalation.
• Partner with the Team Lead to monitor and maintain claim block health by analyzing inventory and performance indicators, identifying areas of risk, recommending priorities, and supporting timely follow-through on corrective actions.
• Support the development and delivery of technical training, knowledge sharing, and skill-building activities for claim professionals.
• Provide consultation on high-risk, escalated, or technically complex claims by identifying key considerations and recommending approaches aligned with policy provisions, procedures, and sound Long Term Disability claim management practices.
• Support additional technical, coaching, analytical, and operational priorities as assigned based on evolving team and business needs.

Minimum of 3 years of Long-Term Disability claim management experience, with demonstrated technical expertise in complex claim evaluation, consultation, and resolution.

Advanced knowledge of Long-Term Disability policy provisions, medical and vocational considerations, benefit calculations, Social Security benefits, and other deductible sources of income.

Proven ability to independently analyze complex or high-risk claim scenarios, identify key issues, and recommend sound claim strategies and next steps.

Demonstrated success coaching claim professionals, providing actionable feedback, and building technical capability and critical-thinking skills.

Ability to interpret claim data, inventory indicators, and activity trends to identify emerging risks and recommend actions that improve claim quality, consistency, and block health.

Ability to adapt technical support, coaching, and priorities to meet changing team, claim block, and business needs.

Proficiency in Microsoft Teams, Word, and Excel, including using data and reporting tools to support trend analysis and claim block oversight.

We offer a suite of services such as on demand resources and networking to propel your career forward.

We’re a global organization, full of outstandingly dedicated people who aren’t afraid to think differently, challenge the status quo and take sensible risks along the way. You will enjoy pushing boundaries as we build innovative technology that helps clients, customers and employees live their best lives. We will help you do your best work, offering flexibility, while delivering on our Purpose.

#LI-Virtual

Prudential is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. 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.
• ~ 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. 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. 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 accommodations.If you are experiencing a technical issue with your application or an assessment, please email careers.