Senior Disability Claims Specialist & Technical Coach

Prudential Financial; North Carolina; Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Pension plan

Wellness programs

Education benefit

Employee stock purchase plan

Job summary

Prudential Financial is seeking an experienced Disability Claims Specialist to serve as a technical expert on Long-Term Disability claims. You will guide claim professionals, coach teams, and analyze complex cases to ensure high-quality outcomes.

The role emphasizes policy interpretation, medical and vocational considerations, and collaboration with leadership to maintain claim block health. Strong communication and data analytics skills are essential.

Qualifications

• Minimum of 3 years of Long-Term Disability claim management experience with deep expertise in complex claim evaluation and resolution.
• Advanced knowledge of Long-Term Disability policy provisions, medical and vocational considerations, benefit calculations, and related income sources.
• Proven ability to independently analyze complex or high-risk claims and recommend sound strategies.
• Demonstrated success coaching claim professionals and providing actionable feedback to build capability.
• Ability to interpret claim data, inventory indicators, and trends to improve claim quality 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 next steps.
• Coach claim professionals through complex scenarios to strengthen critical thinking and consistent management practices.
• Offer timely, actionable feedback to improve technical capability and decision quality.
• Analyze claim activity and outcomes to identify trends, risks, and coaching opportunities.
• Support development and delivery of technical training and knowledge sharing for claim professionals.
• Provide consultation on high-risk or escalated claims and recommend approaches aligned with policy provisions.

Skills

Disability claim management

Technical guidance

Coaching

Data analysis

Policy interpretation

Tools

Microsoft Teams

Word

Excel

Job description

Prudential Financial is seeking an experienced Disability Claims Specialist to serve as a technical expert on Long-Term Disability claims. You will guide claim professionals, coach teams, and analyze complex cases to ensure high-quality outcomes.

The role emphasizes policy interpretation, medical and vocational considerations, and collaboration with leadership to maintain claim block health. Strong communication and data analytics skills are essential.