Remote Long-Term Disability Claims Expert

Prudential Financial; New Hampshire; À distance; USD 70 000 - 116 000; Plein temps

Résumé du poste

Prudential is seeking a Disability Claims Specialist to serve as a technical expert on Long-Term Disability claims and mentor team members in complex scenarios. The role focuses on policy interpretation, medical and vocational considerations, and ensuring high-quality claim outcomes.

Fully virtual position with potential on-site requirements. Strong communication, coaching, and data analysis skills are essential to support claim professionals and maintain block health.

Qualifications

• 4-5 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.
• 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.

Responsabilités

• 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.

Connaissances

Long-Term Disability claim management

Policy interpretation

Data analysis & trend identification

Communication & coaching

Complex claim evaluation

Team collaboration

Outils

Microsoft Teams

Word

Excel

Description du poste

Prudential is seeking a Disability Claims Specialist to serve as a technical expert on Long-Term Disability claims and mentor team members in complex scenarios. The role focuses on policy interpretation, medical and vocational considerations, and ensuring high-quality claim outcomes.

Fully virtual position with potential on-site requirements. Strong communication, coaching, and data analysis skills are essential to support claim professionals and maintain block health.