Disability Claims Examiner (Group Insurance)

Disability Claims Examiner (Group Insurance) Portland, ME, USA ME-Virtual Office Full time Posted Today R-124126 Job Classification: Operations - Insurance Operations At Prudential, we believe talent is key to achieving our vision. When you join Prudential, you’ll unlock a motivating and impactful career – all while growing your skills and advancing your profession at one of the world’s leading financial services institutions! As a Disability Claim Examiner, you will play a critical role in supporting our customers during some of the most important moments of their lives. You will manage a caseload of Short-Term Disability and Absence claims, applying sound judgment, analytical expertise, and empathy to deliver timely, accurate, and fair claim decisions. This role offers the opportunity to make a meaningful impact while working in a collaborative, performance driven environment that values quality, accountability, and professional growth. This role is intended for candidates who are local to the Portland, ME area and able to work onsite during an initial training and coaching period (approximately 6–7 months) at our Portland, ME office. Following successful completion of this onsite period and based on demonstrated proficiency, independence, and readiness for the role, the position is expected to transition to a fully virtual work arrangement. While the long‑term work arrangement is remote and does not require regular on‑site presence, occasional visits to a Prudential office may be required based on business needs. What you can expect: Independently manage a designated block of Disability and Absence claims from intake through resolution. Deliver accurate, timely, and well-reasoned claim decisions in accordance with policy provisions and regulatory requirements. Serve as a trusted partner to stakeholders by providing clear, compassionate, and professional communication. Maintain a strong focus on customer experience, ensuring claimants feel supported and informed throughout the process. Analyze medical, occupational, and financial information to determine eligibility and ongoing benefits. Build and maintain productive customer relationships through reliability, responsiveness, and sound judgment. Consistently meet productivity, quality, and service metrics in a fast paced, performance driven environment. Collaborate with peers and leaders while demonstrating the ability to work independently and take ownership of outcomes. What you’ll need: Open to candidates with diverse professional backgrounds, including hospitality, case management, absence management, and short‑term disability functions. Ability to work effectively in a fast‑paced environment, managing competing priorities with strong organizational and time‑management skills. Demonstrated success in achieving individual development goals and performance objectives. Excellent analytical, critical thinking, and decision-making skills. Strong written and verbal communication skills, with the ability to explain complex decisions clearly. Proven customer service skills with a genuine commitment to helping other.Highly organized, goal oriented, and able to manage multiple priorities effectively. Ability to adapt and thrive in a changing, evolving organization. Proficiency in a Windows based environment, including Word, Excel, and PowerPoint. It’d be a plus if you had: 2–3 years of experience managing Short Term Disability and/or Absence claims. Previous knowledge of claim and risk management, including contract interpretation and administration. College degree preferred or equivalent relevant experience. Prudential welcomes all applicants, even if you don't meet every requirement. If your skills align with the role, we encourage you to apply. At Prudential, you can: Take charge of your career. We equip and empower our employees to expand their skills and experience by using powerful learning, gigs, and job opportunities. We offer a suite of services such as on demand resources and networking to propel your career forward. We’re a global organization, full of outstandingly dedicated people who aren’t afraid to think differently, challenge the status quo and take sensible risks along the way. You will enjoy pushing boundaries as we build innovative technology that helps clients, customers and employees live their best lives. You will have access to leadership and learning opportunities and the resources needed to take your career in any direction. We will help you do your best work, offering flexibility, while delivering on our Purpose. #LI-RRJ What we offer you: 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 $53,300.00 to $88,000.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills. Market competitive base salaries, with a yearly bonus potential at every level. Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO), and leave of absences, such as parental and military leave. 401(k) plan with company match (up to 4%). Company-funded pension plan. Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs. Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development. Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs. Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service. 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. To find out more about our Total Rewards package, visit Work Life Balance | Prudential Careers. Some of the above benefits may not apply to part-time employees scheduled to work less than 20 hours per week. Prudential Financial, Inc. of the United States 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, national origin, 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 accommodations.hw@prudential.com. If you are experiencing a technical issue with your application or an assessment, please email careers.technicalsupport@prudential.com to request assistance.

Salary : $53,300 - $88,000