Senior Disability Claims Examiner
Job Code: 399138
Job Location: Arizona-Scottsdale
The Sr. Disability Claim Examiner (Absence Technical Lead) primary responsibilities are to provide guidance, coaching and support to the Prudential Leave Coordinators and Assistant Claim Examiners on their team. They will be required to review and provide sign off on complex or adverse Absence/Leave decisions. They support the Team Lead in assigning out work and coverage plans. They are also the customer contact for the employer and are responsible for returning any phone calls for claim inquires. The Senior Disability Claim Examiner is a multi-dimensional position whose responsibilities include, but are not limited to:
Written and verbal communication with a diverse population of customers, including claimants with physical and mental impairments, physicians, attorneys, benefit representatives, other healthcare providers, and internal/external clients.
Facilitate the technical aspects of the claim and appropriately apply the legal and contractual provisions.
Calculate appropriate Absence time and dates accurately.
Develop and maintain effective working relationships with group clients.
Lead/participate in projects/activities such as Marketing presentations, Client meetings, Customer Action Teams, Claimant Visits, in-service training sessions and other projects related to claim management and staff development.
Understand and correctly utilize the appropriate systems.
Ability to manage multiple and changing priorities.
Excellent organizational and time management skills.
Strong written and communication skills demonstrated in previous work experience.
Specific experience with collaborative negotiations.
Proven skills in positive and effective interaction with challenging customers.
Experience in effectively meeting/exceeding individual professional expectations and team goals.
Demonstrated analytical and math skills.
Ability to exercise sound judgment.
High level of flexibility to adapt to the needs of the organizations.
PC skills preferred (i.e., Windows based environment)
Prudential is a multinational financial services leader with operations in the United States, Asia, Europe, and Latin America. Leveraging its heritage of life insurance and asset management expertise, Prudential is focused on helping individual and institutional customers grow and protect their wealth. The company's well-known Rock symbol is an icon of strength, stability, expertise and innovation that has stood the test of time. Prudential's businesses offer a variety of products and services, including life insurance, annuities, retirement-related services, mutual funds, asset management, and real estate services.
We recognize that our strength and success are directly linked to the quality and skills of our diverse associates. We are proud to be a place where talented people who want to make a difference can grow as professionals, leaders, and as individuals. Visit www.prudential.com to learn more about our values, our history and our brand.
Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, genetics, disability, age, veteran status, or any other characteristic protected by law.
Note that this posting is intended for individual applicants. Search firms or agencies should email Staffing at email@example.com for more information about doing business with Prudential.
Job Function: Claims