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!

The Disability Claims Specialist (DCS) is accountable for direct support of the Team Lead on the claim team ensuring optimal claims handling and timely, accurate decisions of the claim team for handling Long-Term (LTD) Disability claims for a dedicated account.

The successful candidate will be aligned to a West Coast-based client and will be expected to work under the West Coast time zone.

The current employee work arrangement for this position is fully virtual. While this position does not require your on-site presence on a regular basis, depending on business preferences, there may be occasions where you are required to be on-site at a Prudential office. With this position being fully virtually, new hires must be able to provide the following:

• High speed internet service must be available in your area. You must be willing to troubleshoot any issues or outages with your home internet service, contacting your service provider as necessary. The internet service cannot be wireless, and the internet speed requirement is: 3.0 mg downstream and 768k upstream.

• Must have the capability to handle calls with a cell phone (would need to have unlimited data and minutes) or a landline. You will be logging into Avaya therefore your personal phone number will not be identified to customers.

• Quiet area in your home with minimal distractions and noise free.

What you can expect:

In addition, the role requires but is not limited to the following skills:

• This role is part of our leadership team in the claim organization.

• Demonstrated ability to lead others resulting in improved team effectiveness through coaching, feedback, and problem solving.

• Provides guidance and technical support to the Claim team to ensure timely and accurate decisions for our customer.

• Project participation and/or management at the team and organizational level in accordance with our strategic imperatives

• Demonstrated ability to deliver accurate, dependable, and trustworthy service to our customers.

• Collaborates effectively across team and organization to elevate performance across functions.

• A strong customer focus by serving as the liaison between the group customer, broker, Work Comp Carrier and Sedgwick Operations Team.

• Consistently strong engagement and critical thinking leading to effective problem solving and increasing efficiency and high-quality claims management to benefit overall customer experience.

• Demonstrated solid relationship management skills with internal and/or external clients (e.g., management, peers, colleagues, claimants)

• Possess excellent organizational skills with the ability to prioritize workload and multi-task while maintaining strict attention to detail

• Ability to process increasingly complex claims ensuring fair, ethical, and timely processing of assigned claims

• Assist group customer with training, development and communication needs.

• Supports the group customer and Sedgwick Operations team as needed on changes in policies or process flows.

What you’ll need:

• 4-5 years’ experience in complex or LTD claim management required

• Exceptional claim/risk management skills and technical knowledge in contract interpretation and administration

• 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

• Success in achieving Individual development goals, and influence others in achieving development goals

• Demonstrated success at coaching others to elevate performance

• Demonstrated leadership skills in other positions or a similar position

• Strong presentation and facilitation skills

• 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 with the ability to complete complex pre-disability earnings calculations, partial disability calculations and salary continuation calculations.　

• Ability to exercise sound judgment　

• High level of flexibility to adapt to the needs of the organizations

• 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

• Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, Teams

• Ability to travel onsite to group customer at least one to two times per year.

It’d be a plus if you had:

• College degree preferred

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.

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%), company-funded pension plan

• Wellness Programs to help you achieve your wellbeing goals, 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.

• Tuition Assistance to help finance traditional college enrollment toward obtaining an approved degree, many accredited certificate programs, and industry designations.

• 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.

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.

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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 $71,100.00 to $105,900.00. 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.