Disability Claims Specialist

Prudential Financial; Portland (ME); On-site; USD 70,000 - 116,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) with company match

Bonus potential

Paid Time Off (PTO)

Wellness Program

Job summary

Prudential Financial, Inc. is seeking an experienced Disability Claims Specialist to serve as a Long-Term Disability technical expert and resource.

The role supports the Team Lead and claim professionals, guiding complex claim matters and enhancing decision quality while ownership remains with the individual claim professional. The position is fully virtual with optional on-site appearances; it offers technical coaching, training, and opportunities to influence claim block health.

Qualifications

• 4–5 years of Long-Term Disability claim management experience with technical expertise in complex claim evaluation and resolution.

Responsibilities

• Provide technical guidance on policy interpretation, medical and vocational considerations, and claim strategy.
• Coach claim professionals through complex scenarios to strengthen decision quality.
• Identify trends and risks in claim activity to guide targeted coaching and process improvements.
• Monitor claim block health with inventory and performance indicators and support timely corrective actions.
• Develop and maintain technical resources and best-practice guidance for the team.

Skills

LD claim management

Coaching

Data analysis

MS Teams/Excel

Tools

MS Teams

Excel

Word

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 4-5 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.

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.

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. Prudential Financial, Inc. (NYSE: PRU), a global financial services leader and premier active global investment manager with approximately $1.4 trillion in assets under management as of Dec. 31, 2023, has operations in the United States, Asia, Europe, and Latin America. Prudential’s diverse and talented employees help make lives better and create financial opportunity for more people by expanding access to investing, insurance, and retirement security. Prudential’s iconic Rock symbol has stood for strength, stability, expertise and innovation for 150 years. For more information please visit news.prudential.com. Our Commitment to an Inclusive Workplace Prudential Financial, Inc. serves its customers in more than 40 countries and territories, and we seek talented, creative individuals from a variety of backgrounds, worldviews, and life circumstances to work with us. We are focused on creating a fully inclusive culture, where all employees feel comfortable bringing their authentic selves to work. We don’t just accept difference—we celebrate it, support it, and thrive on it. At Prudential, employees have a unique opportunity to build their career path by owning their development, their career, and their future. We encourage employees to hone their skills and explore continued opportunities within Prudential. PGIM, the global asset management business of Prudential Financial, Inc. (NYSE: PRU), is a global investment manager with US $1.3 trillion in assets under management as of Dec. 31, 2023. With offices in 18 countries, PGIM’s businesses offer a range of investment solutions for retail and institutional investors around the world across a broad range of asset classes, including public fixed income, private fixed income, fundamental equity, quantitative equity, real estate, and alternatives. For more information about PGIM, visit pgim.com. Prudential Financial, Inc. (PFI) of the United States is not affiliated in any manner with Prudential plc, incorporated in the United Kingdom, or with Prudential Assurance Company, a subsidiary of M&G plc, incorporated in the United Kingdom. For more information please visit news.prudential.com. PGIM Inc. (PGIM) is the principal asset management business of Prudential Financial, Inc. (PFI), a company incorporated and with its principal place of business in the United States. PFI of the United States is not affiliated in any manner with Prudential plc, incorporated in the United Kingdom or with Prudential Assurance Company, a subsidiary of M&G plc, incorporated in the United Kingdom. Our Commitment to an Inclusive Workplace Prudential Financial, Inc. serves its customers in more than 40 countries and territories, and we seek talented, creative individuals from a variety of backgrounds, worldviews, and life circumstances to work with us. We are focused on creating a fully inclusive culture, where all employees feel comfortable bringing their authentic selves to work. We don’t just accept difference—we celebrate it, support it, and thrive on it. At Prudential, employees have a unique opportunity to build their career path by owning their development, their career, and their future. We encourage employees to hone their skills and explore continued opportunities within Prudential.