Senior Disability Claims Examiner - Overpayment Recovery Specialist (Remote)

Posted:
11/13/2024, 3:34:41 PM

Location(s):
New York, United States ⋅ New York, New York, United States

Experience Level(s):
Senior

Field(s):
Customer Success & Support

Workplace Type:
Remote

Job Classification:

Operations - Insurance Operations

The Financial Services Team, within the Group Insurance Disability Organization, is seeking an Overpayment Recovery Specialist. The successful candidate will be expected to interact with claimants, employers, attorneys and collections agencies, articulate how an overpayment debt occurred and negotiate reimbursement plans.

This role requires the ability to partner closely with claim manager and provide expertise regarding taxes, offset and financial calculations.

Job Responsibilities:

• Responsible for written communication of overpayments.
• Recovers overpayment that have occurred on Paid Leave, STD, and LTD claims.
• Performs recalculations of benefits paid on Paid Leave, STD, and LTD claims.
• Processes incoming checks.
• Applies cyclical withholdings of benefits to apply toward overpayments.
• Manages the ACH process for the transfer of funds applied to an overpayment.
• Provides technical support for claims team, in the financial aspects of claim management.
• Demonstrates an intimate understanding of all aspects of LTD, STD, and Paid Leave claim management/adjudication.
• Assists in the development and coordination of training for claim teams.
• Works with the team to address challenges relating to contract interpretation, procedures, and complex claim assistance and/or direction.
• Responds to customer service issues within required timeframes to meet customer expectations.
• For US employees, this job is exempt and therefore not eligible for overtime.

Qualifications:

• BA/BS or equivalent combination of education and disability insurance experience.
• 3 years of Disability Claims (STD, Waiver and/or LTD) or Collections experience required.
• Excellent organizational and time management skills.
• Strong written and communication skills demonstrated in previous work experience.
• Specific experience with collaborative negotiations and influencing others.
• Proven skills in positive and effective interaction with challenging customers.
• Demonstrated analytical and math skills.
• Ability to exercise sound judgment.
• High level of flexibility to adapt to the needs

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.

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 including 1:1 Career advice, 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.

What we offer you:

  • 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.
  • Retirement plans: 401(k) plan with company match (up to 4%)
  • 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.
  • Tuition Assistance to help finance traditional college enrollment toward obtaining an approved degree, many accredited certificate programs, and industry designations.

To find out more about our Total Reward package, see our Total Rewards Brochure. Some of the above benefits may not apply to part-time employees scheduled to work less than 20 hours per week.

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 $62,500.00 to $93,000.00. 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.

Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom.

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, 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. 

The Prudential Insurance Company of America, Newark, NJ and its affiliates.

Note that this posting is intended for individual applicants. Search firms or agencies should email Staffing at [email protected] for more information about doing business with Prudential.

PEOPLE WITH DISABILITIES:
If you need an accommodation to complete the application process, which may include an assessment, please email
[email protected].

Please note that the above email is solely for individuals with disabilities requesting an accommodation.  If you are experiencing a technical issue with your application or an assessment, please email [email protected] to request assistance.

Prudential Financial

Website: http://www.prudential.com/

Headquarter Location: Newark, New Jersey, United States

Employee Count: 10001+

Year Founded: 1875

IPO Status: Public

Last Funding Type: Post-IPO Debt

Industries: Asset Management ⋅ Finance ⋅ Financial Exchanges ⋅ Financial Services ⋅ Insurance ⋅ Health Care ⋅ Retirement