Remote Disability Claims Specialist LT – Expert & Coach

Prudential Financial

Georgia

On-site

USD 85,000 - 110,000

Full time

8 days ago

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Benefits offered by this job

Medical, dental, vision
Pension plan
Wellness programs
Education benefits
Employee stock purchase plan

Job summary

Prudential Financial in the United States is seeking a Disability Claims Specialist to join the Long-Term Disability Core Team. You will serve as a technical expert, applying advanced claim management knowledge to guide professionals and support the Team Lead.

The role emphasizes coaching, policy interpretation, and consistent claim outcomes, with opportunities to influence claim block health, provide training, and participate in high-risk analyses.

Qualifications

  • Minimum of 3 years of Long-Term Disability claim management experience.
  • Advanced knowledge of Long-Term Disability policy provisions.
  • Ability to independently analyze complex or high-risk claim scenarios.
  • Experience coaching claim professionals and giving actionable feedback.
  • Ability to interpret claim data and identify trends.
  • Proficiency in MS Teams, Word, and Excel for reporting.

Responsibilities

  • Serve as a Long Term Disability technical expert 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 next steps.
  • Coach claim professionals through complex claim scenarios and reinforce effective management practices.
  • Provide timely, actionable feedback to improve technical capability and decision quality.
  • Analyze claim activity and outcomes to identify trends, risks, and coaching opportunities.
  • Monitor claim block health by analyzing inventory and performance indicators.
  • Support the development and delivery of technical training for claim professionals.
  • Consult on high-risk or technically complex claims and recommend approaches aligned with policy.
  • Support additional priorities as assigned based on evolving team and business needs.

Skills

Claim management
Coaching
Policy interpretation
Critical thinking
Data analysis

Tools

MS Teams
MS Word
MS Excel

Job description

Prudential Financial in the United States is seeking a Disability Claims Specialist to join the Long-Term Disability Core Team. You will serve as a technical expert, applying advanced claim management knowledge to guide professionals and support the Team Lead.

The role emphasizes coaching, policy interpretation, and consistent claim outcomes, with opportunities to influence claim block health, provide training, and participate in high-risk analyses.

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