LT Disability Claims Clinician | Expert Resource Team

Prudential Financial, Inc.; Fort Washington (Montgomery County); Remote; USD 82,000 - 135,000; Full time

Benefits offered by this job

Medical, dental, vision, life, and LTD

PTO and parental leave

401(k) with company match

Pension plan

Wellness programs

Education benefits

Employee Stock Purchase Plan

Annual incentive program

Total Rewards package

Job summary

Prudential Financial, Inc. is seeking a qualified professional to join the Expert Resource Team supporting Long-Term Disability Claims within Group Insurance.

You will review medical documentation, determine restrictions, and collaborate with clinicians and claims staff to resolve the best course for claim management. The role requires current RN/PT/OT licensure, 3+ years acute care, and strong written and verbal communication, with proficiency in MS Office.

Qualifications

• RN, PT, or OT license - must be current.
• 3+ years of acute care experience.
• Experience in case management.
• Strong interpersonal and communication skills; high level of organizational effectiveness; ability to interface with multiple disciplines.
• Proficiency with MS Office including Excel.

Responsibilities

• Review and assessment of primarily complex illness and injury claims.
• Identify restrictions and limitations based on physiological, psychological, and social factors to assist claim management staff in their claim handling activities.
• Assist in strategy as well as identifying appropriate utilization of additional clinical, vocational, or other resources which will require excellent analytical and critical thinking skills.
• Apply effective written and verbal communication skills to document clinical assessments; contact Treating Providers; engage in discussions with other resources including Disability Claim Team Members, Clinical Peers and Vocational Rehabilitation Counselor.

Skills

Problem solving

Communication skills

Organizational skills

Interdisciplinary collaboration

Education

RN/PT/OT license

Tools

MS Office

Excel

Job description

Prudential Financial, Inc. is seeking a qualified professional to join the Expert Resource Team supporting Long-Term Disability Claims within Group Insurance.

You will review medical documentation, determine restrictions, and collaborate with clinicians and claims staff to resolve the best course for claim management. The role requires current RN/PT/OT licensure, 3+ years acute care, and strong written and verbal communication, with proficiency in MS Office.