Disability Claims Specialist

Prudential Ins Co of America; Portland (OR); Remote; USD 70,000 - 116,000; Full time

Benefits offered by this job

Annual bonus

Wellness program

401(k) match

Pension plan

Education benefits

Stock purchase plan

Paid time off

Job summary

Prudential is seeking an experienced Disability Claims Specialist to act as a Long Term Disability technical expert within the Group Insurance Disability Organization. You will guide claim professionals, provide coaching, and promote high-quality outcomes while ownership remains with the individual professional.

The role is fully virtual with occasional on-site requirements and a strong emphasis on technical training, collaboration, and policy interpretation to support informed decision making

Qualifications

• 3+ years in long-term disability claim management with complex claim evaluation and resolution experience.
• Deep knowledge of LTD policy provisions, medical and vocational considerations, and benefit calculations.
• Strong communication, consultation, and facilitation skills to explain complex information.
• Proven ability to coach claim professionals and identify emerging risks and improvement opportunities.

Responsibilities

• Serve as a technical expert to the Team Lead and claim professionals on complex claim matters.
• Provide guidance on policy interpretation, medical/vocational considerations, and claim strategy.
• Coach staff through difficult scenarios, delivering actionable feedback to improve decision quality.
• Analyze claim activity to identify trends, risks, and opportunities for coaching and process improvement.
• Develop and maintain technical resources, procedures, and best-practice guidance.

Skills

Disability claims management

Policy interpretation

Coaching and feedback

Data analysis

Microsoft Teams

Tools

Microsoft Teams

Word

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; identifying and analyzing trends; 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.

What you can expect:

• 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.
• Develop, update, and maintain technical resources, procedures, job aids, and best-practice guidance to promote consistency across the team.
• Support additional technical, coaching, analytical, and operational priorities as assigned based on evolving team and business needs.

What you'll need:

• 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.
• Strong communication, consultation, presentation, and facilitation skills, with the ability to clearly explain complex technical information.
• 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.

Prudential welcomes all applicants, even if you don't meet every requirement.

At Prudential, you can:

Take charge of your career. We equip and empower our employees to expand their skills and experience by using powerful learning, gigs, and job opportunities. 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. You will have access to leadership and learning opportunities and the resources needed to take your career in any direction. We will help you do your best work, offering flexibility, while delivering on our Purpose.

#LI-Virtual

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 $70,300.00 to $116,100.00. 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).

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.

To maintain the integrity and security of our hiring process, Prudential may use identity verification technologies. Your consent will be obtained before any verification takes place.

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.