Job Classification:

Operations - Insurance Operations

The Short-Term Disability (STD) Claim Examiner will be responsible for handling a complex claim block of STD claims for a dedicated account. The STD Claim Examiner is accountable for ensuring optimal claims handling and timely, accurate decisions. In addition, the role requires but is not limited to the following skills:

• Will effectively and accurately manage a block of Complex Short-Term Disability (STD) claims
• Focus on customer experience to deliver the best experience for our customers.
• Demonstrated ability to deliver accurate, dependable, and trustworthy service to our customers.
• A strong customer focus evidenced through maintaining customer relationships.
• Interacts with internal and external customers including, but not limited to, claimants, employers, physicians, attorneys etc., to gather the information to make the decision on the claim.

JOB REQUIREMENTS:

• 2-3 years’ experience in STD claim management required.
• Ability to solve complex claim scenarios with minimal guidance
• Ability to manage multiple and changing priorities　
• Claim/risk management skills and technical knowledge in contract interpretation and administration
• 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　
• Goal oriented with an ability to organize and analyze information
• Strong critical thinking skills, communication, organization, and time management skills
• Proven customer service skills
• Demonstrated ability to adapt to the changing needs of an organization
• PC skills required (i.e., Windows based environment; Word; Excel; PowerPoint)
• College degree preferred
• Prior Short Term Disability claim experience required

Additional Requirements:

This position will work virtually, therefore new hires must be able to provide the following & all new hires who work remotely will be held accountable to these standards:

• Subscribe to internet service provider plan with at least 25 Mbps download speeds. You must be willing to troubleshoot any issues or outages with your home internet service, contacting your service provider as necessary. 
• Must have the capability to handle calls with a cell phone (would need to have unlimited data and minutes) or a landline. Your personal phone number will not be identified to customers.
• Quiet area in your home with minimal distractions and noise free.
• Reliability and Dependability throughout our extensive training program is required

RSRPRUD

Note: Prudential is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $51,900.00 to $77,200.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills. Roles may also be eligible for additional compensation and/or benefits. Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program, whereby an award, if any, depends on various factors including, without limitation, individual and organizational performance. In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement.