[Hiring] Senior Claim Manager @Prudential Financial

Role Description

This Senior Level Claim Manager role will provide concierge-level customer service to one of Group Insurance’s largest clients. By gaining a deep understanding of the client’s culture and using expert customer service skills, the Senior Claim Manager will take a consultative approach in guiding and coaching our client’s employees through the life cycle of a disability claim.

• Exposure to multiple products, including Short Term Disability, Statutory Leaves, Absence, Long Term Disability, and Life Waiver of Premium.
• Deliver world-class service that ensures a more effortless experience for the employee.
• Engage Expert Resources to further enhance the claim journey, addressing Behavioral Health and Vocational opportunities.
• Interact directly with the Leave team at the client during quarterly virtual meetings.
• Interface daily with the client’s Benefits Business Partners.
• Seek out opportunities to enhance the claimant experience and serve as an ambassador for continuous process improvement.
• Manage an assigned block of around 75 Long-Term Disability (LTD) and Short-Term Disability (STD) claims.
• Oversee a block of complex claims, including those with co-morbidities, behavioral health issues, and self-reported symptoms.

Qualifications

• 3+ years of LTD experience is required.
• STD claim handling and Life Waiver of Premium experience and/or understanding is preferred.
• Expert-level, proactive communication skills using various pathways (telephone, email, letters, Teams messaging, group Teams calls, and one-on-one video calls).
• Energetic customer focus evidenced through maintaining customer relationships.
• Confidence in communicating with highly skilled and highly educated claimants in the software industry.
• Ability to interact confidently with attorneys and specialty medical professionals such as Psychiatric providers.
• Excellent documentation skills to capture the essence of telephone conversations and establish clear, concise claim plans.
• Ability to comprehend and interpret complex and non-standard policy and plan provisions.
• Strong ability to independently work through ambiguous situations and adjust course quickly when needed.
• Advanced math skills for financial calculations related to salary and incentives, partial disability calculations, RTW incentives, and offsets.
• Provides technical direction to other claims personnel as needed.
• Excellent organizational and time management skills.
• Demonstrated teamwork skills and ability to leverage resources to attain goals.

Requirements

• Preference to be available to work Pacific Time Zone business hours; if not in Pacific Time Zone, ability to work a later shift to support customers located on the West Coast.
• Subscribe to an internet service provider plan with at least 25 Mbps download speeds and be willing to troubleshoot any issues or outages.
• Capability to handle calls with a cell phone (unlimited data and minutes) or a landline; personal phone number will not be identified to customers.
• Quiet area in your home with minimal distractions and noise-free.
• Reliability and dependability throughout the extensive training program are required.

Benefits

• Salary range from $61,700.00 to $101,900.00, based on geographic location, candidate experience, and skills.
• Market competitive base salaries, with yearly bonus potential at every level.
• Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO), and leave of absences (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 personal wellbeing needs.
• Work/Life Resources for support on various topics (parenting, housing, senior care, finances, etc.).
• Education Benefit to help finance traditional college enrollment and 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).
• Eligibility to participate in a discretionary annual incentive program based on individual and organizational performance.