Senior Customer Service Associate (OSIGLI)

Prudential Ins Co of America; Newark (NJ); Remote; USD 46,000 - 72,000; Full time

Job summary

A leading insurance provider seeks a detail-oriented OSGLI Claims Examiner to manage claims processes and ensure timely payments. This fully remote position requires strong problem-solving and analytical skills, along with experience in claims management. Ideal candidates will have a Bachelor's degree and a focus on customer service. This opportunity offers a competitive salary and comprehensive benefits.

Benefits

Medical, dental, vision insurance

401(k) with company match

Employee Stock Purchase Plan

Wellness programs

Education benefits

Qualifications

• 2 to 5 years of claims management experience preferred.
• Ability to learn and retain technical information.
• Attention to detail and ability to work overtime.

Responsibilities

• Manage claims through effective time management.
• Process decisions on claims through management systems.
• Approve and deny claim payments within limits.
• Correspond with various stakeholders throughout claims.

Skills

Strong customer focus

Analytical skills

Time management

Excellent PC skills

Problem solving

Written communication

Team player

Education

Bachelor's degree or equivalent military experience

Tools

Claim management system (Promise 360)

New business application (Compass)

Job description

Overview

Job Classification: Operations - Insurance Operations

The Office of Servicemembers' Group Life Insurance (OSGLI) administers the Servicemembers' Group Life Insurance program (SGLI). SGLI offers life insurance products to active-duty service members, Veterans, and their families. Prudential has been aiding our service members since 1965. Prudential is interviewing for the OSGLI Claims Examiner role. The Claims Examiner reviews claims and extracts information for processing death claims, verifies, corrects, and completes claims information by telephone, letter, or email, and conducts investigations to gather supporting documentation. The examiner calculates benefits payable and approves or denies claims in accordance with established procedures.

The OSGLI department is located at Prudential's office in Newark, NJ. This position will work FULLY REMOTE. However, candidates may be required to be within 60 miles of one of the following Prudential offices if warranted by circumstances: Newark, NJ; Fort Washington, PA; Moosic, PA; Jacksonville, FL; Hartford, CT; Shelton, CT; Portland, ME; Minneapolis, MN.

Essential Job Functions

• Manage a book of pending claims through effective time management to ensure timely payments.
• Process decisions on claims through the claim management system (Promise 360) and/or the new business application (Compass).
• Approve and deny claim payments within authorization limits.
• Render decisions on disability extension requests and traumatic injury claims within authorization limits.
• Obtain necessary information for claim decisions from sources including, but not limited to, the Veterans Administration, branches of service, beneficiaries, attorneys, and police departments.
• Correspond with claimants, law department, underwriting, Casualty Assistance Officers, attorneys, the Veterans Administration, and other interested parties throughout the life of a claim.
• Prioritize work to meet performance standards.
• Other duties as assigned.

Qualifications / Position requirements

• Bachelor's degree, or equivalent military experience, preferred.
• 2 to 5 years of claims management experience, preferred.
• Strong customer focus with the ability to empathize with customers.
• Ability to learn and retain a large amount of technical information.
• Ability to analyze data on claims and make appropriate claim decisions.
• Strong problem solving, strategic thinking, and analytical skills.
• Ability to prepare replies to claim inquiries.
• Excellent PC skills and working knowledge of Windows-based applications.
• Proven self-motivation and excellent oral and written communications skills.
• Team player with the ability to work well in a group and independently.
• Ability to prioritize work and excel in a fast-paced, metric-driven environment.
• Excellent time management and organizational skills.
• Attention to detail; ability to work overtime based on workload.

Additional Requirements

• Training hours typically 8:00am - 4:00pm Eastern Time, Monday - Friday. Candidates must be able to work 9:00am - 5:00pm Eastern Time, Monday-Friday. Overtime may be mandatory during peak times.
• Remote-work readiness: subscribe to an internet plan with at least 25 Mbps download speed; be able to troubleshoot issues with your home internet service; have unlimited data and minutes on a cell plan or a landline; maintain a quiet, distraction-free workspace; demonstrate reliability during training.

What we offer you

Salary range for this role is $46,300.00 to $71,800.00, with specific pricing varying by location, experience, and skills. Benefits include:

• Market-competitive base salaries, with yearly bonus potential at every level.
• Medical, dental, vision, life insurance, disability insurance, PTO, and parental/military leave.
• 401(k) plan with company match (up to 4%).
• Company-funded pension plan.
• Wellness programs including up to $1,600 per year for personal wellbeing reimbursements.
• Work/Life resources for parenting, housing, senior care, finances, legal matters, education, mental health, and career development.
• Education benefit to help finance traditional college enrollment and accredited certificate programs.
• Employee Stock Purchase Plan with shares purchasable at 85% of the lower price after one year of service.

Eligibility to participate in a discretionary annual incentive program depends on performance. Some benefits may not apply to part-time employees scheduled to work less than 20 hours per week.

Prudential Financial, Inc. is not affiliated with Prudential plc. which is headquartered in the United Kingdom.

Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, genetics, disability, marital status, age, veteran status, domestic partner status, medical condition or any other characteristic protected by law.

If you need an accommodation to complete the application process, please email [e-mail]. If you are experiencing a technical issue with your application or an assessment, please email [e-mail] for assistance.