Remote Disability Claims Expert

Prudential Financial; Arizona; On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Medical Insurance

Pension Plan

Wellness Program

Work/Life Resources

Education Benefit

Stock Purchase Plan

Job summary

Prudential Financial is seeking a Disability Claims Specialist to serve as the Long-Term Disability technical expert on the team. You will guide claim professionals, provide policy interpretation, and coach for complex scenarios to ensure high-quality outcomes.

You will analyze trends, identify risks, and support action plans with the Team Lead to maintain claim block health and improve claim quality. Strong data-driven decision making and collaboration are essential.

Qualifications

• 3+ years of Long-Term Disability claim management experience with 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.

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

Coaching

Policy interpretation

Data analysis

Risk assessment

Tools

Microsoft Teams

Word

Excel

Job description

Prudential Financial is seeking a Disability Claims Specialist to serve as the Long-Term Disability technical expert on the team. You will guide claim professionals, provide policy interpretation, and coach for complex scenarios to ensure high-quality outcomes.

You will analyze trends, identify risks, and support action plans with the Team Lead to maintain claim block health and improve claim quality. Strong data-driven decision making and collaboration are essential.