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!
Are you a problem solver who can use critical thinking skills? Are you self-motivated teammate with strong organizational skills? Then this opportunity may be what you are looking for!
You will be a member of the Expert Resource Team supporting Long-Term Disability Claims Teams which is part of our Group Insurance Business. We have Long-Term Disability offices in and Newark NJ, Portland ME, and Scottsdale AZ, with many of our staff members working virtually.
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.
What you can expect:
In this role, you will be reviewing medical documentation in case files to make determinations on medically supported restrictions and limitations for clients. Our clinicians work in collaboration with our claims teams, our physicians, our return to work coordinators and vocational departments to resolve the best course for claim management.
Here are some of the responsibilities for the role:
Review and assessment of primarily complex illness and injury claims
Identify restrictions and limitations based on physiological, psychological, and social factors to assist claim management staff in their claim handling activities.
Assist in strategy as well as identifying appropriate utilization of additional clinical, vocational, or other resources which will require excellent analytical and critical thinking skills
Apply effective written and verbal communication skills to document clinical assessments; contact Treating Providers; engage in discussions with other resources including but not limited to Disability Claim Team Members, Clinical Peers and Vocational Rehabilitation Counselor Resources
Exhibit ability to work independently with minimal direct supervision
What you’ll need:
RN/PT/OT license - must be current.
3+ years of acute care experience
Experience in case management
Strong interpersonal and communication skills (written and verbal), a high level of organizational effectiveness, and the ability to interface with multiple disciplines.
Computer proficiency and technical aptitude with the ability to utilize MS office including Excel Spreadsheets
Ability to work both independently and within a team environment.
It’d be a plus if you had:
Prior insurance industry experience
Experience with Long-Term Disability (LTD) products
#LI-Remote
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 $82,000.00 to $135,300.00. 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…