Remote LTD Claims Clinician | Case Management Expert

Prudential Financial, Inc.; United States; Remote; USD 82,000 - 135,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Disability insurance

401(k) plan

Pension plan

Wellness program

Education benefit

Stock purchase plan

Job summary

Prudential Financial, Inc. invites applications for an Operations role supporting Long-Term Disability claims. The position is primarily virtual nationwide with occasional on-site requirements at Prudential offices as needed.

You will review medical documentation to determine restrictions and collaborate with clinicians, claims teams, and vocational staff to identify the best claim management path. The role requires an RN/PT/OT license, 3+ years of acute care and case management experience, and

Qualifications

• RN, PT, or OT license – must be current.
• 3+ years of acute care experience.
• Experience in case management.
• Strong interpersonal and communication skills, a high level of organizational effectiveness, and the ability to interface with multiple disciplines.
• Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel Spreadsheets.
• Ability to work both independently and within a team environment.

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 but not limited to Disability Claim Team Members, Clinical Peers and Vocational Rehabilitation Counselor Resources Exhibit ability to work independently with minimal direct supervision.

Skills

Interpersonal communication

MS Office (Excel)

Independent work

Team collaboration

Education

RN/PT/OT license

Tools

MS Office (Excel)

Job description

Prudential Financial, Inc. invites applications for an Operations role supporting Long-Term Disability claims. The position is primarily virtual nationwide with occasional on-site requirements at Prudential offices as needed.

You will review medical documentation to determine restrictions and collaborate with clinicians, claims teams, and vocational staff to identify the best claim management path. The role requires an RN/PT/OT license, 3+ years of acute care and case management experience, and