Senior Long-Term Disability Claims Expert

Prudential Financial; Orangeburg (SC); À distance; USD 60 000 - 90 000; Plein temps

Avantages offerts par ce poste

Medical, dental, vision, life and long

Pension plan

Wellness program

Employee stock purchase plan

Résumé du poste

Prudential Financial seeks a Disability Claims Specialist to serve as Long Term Disability technical expert, guiding claim professionals and supporting the Team Lead to maintain high-quality outcomes. You will interpret policy provisions, evaluate medical and vocational factors, coach teams, and analyze claim data to identify risks and opportunities for improvement across the disability program.

This role offers virtual work options, competitive benefits, and the opportunity to influence

Qualifications

• Minimum of 3 years of Long-Term Disability claim management experience, with demonstrated 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.
• 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.

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.
• Support additional technical, coaching, analytical, and operational priorities as assigned based on evolving team and business needs.

Connaissances

Disability claims management

Policy interpretation

Coaching

Data analysis

Microsoft Teams

Word

Excel

Outils

Microsoft Teams

Word

Excel

Description du poste

Prudential Financial seeks a Disability Claims Specialist to serve as Long Term Disability technical expert, guiding claim professionals and supporting the Team Lead to maintain high-quality outcomes. You will interpret policy provisions, evaluate medical and vocational factors, coach teams, and analyze claim data to identify risks and opportunities for improvement across the disability program.

This role offers virtual work options, competitive benefits, and the opportunity to influence