Long-Term Disability Claims Expert

Prudential Financial; Nebraska; On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical, dental, vision, life ins.

Pension plan

Wellness programs

Education benefit

Employee stock purchase plan

Job summary

Prudential Financial seeks a Disability Claims Specialist to act as a Long-Term Disability technical expert, guiding claim professionals and supporting the Team Lead to maintain high-quality claim outcomes.

The role emphasizes coaching, complex claim consultation, and ensuring policy provisions and medical/vocational considerations are applied consistently. Strong data analysis and MS Teams/Office skills are required, with a focus on claim block health and timely decisions.

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.
• 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.

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.
• 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.

Skills

Disability claims

Technical expertise

Coaching

Data analysis

Microsoft Office

Tools

Microsoft Teams

Microsoft Excel

Microsoft Word

Job description

Prudential Financial seeks a Disability Claims Specialist to act as a Long-Term Disability technical expert, guiding claim professionals and supporting the Team Lead to maintain high-quality claim outcomes.

The role emphasizes coaching, complex claim consultation, and ensuring policy provisions and medical/vocational considerations are applied consistently. Strong data analysis and MS Teams/Office skills are required, with a focus on claim block health and timely decisions.