Disability Claims Examiner - LTD

Job Classification:Operations - Insurance OperationsJob DescriptionPrudential is a company of smart, ambitious professionals working together across a multitude of disciplines. Together, we are building a better financial future for our customers and our communities around the globe. At Prudential, we understand that a company is only as good as its people. This simple fact is central to all that we do.The TeamYou will be part of the Long-Term Disability (LTD) Claims team which is part of our Group Insurance Business. We have Long-Term Disability teams based out of New Jersey, Maine, and Arizona as well as fully remote teams.The RoleThe Long-Term Disability (LTD) Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. You will be expected to utilize judgment and assess risk as you work with various business partners to render claim decisions. As a claim manager you will partner with medical and vocational resources to evaluate disability and support return to work goals. Additional responsibilities include:Deliver an exceptional customer experience that serves to differentiate Prudential from our competitors and ensures that customer commitments and deliverables are achieved.Communication via telephone, email, and text with employees, employers, attorneys, and others.Review and interpret medical records, utilizing resources as appropriate.Complete financial calculationsGain an understanding and working knowledge of the Prudential claim system, policies, procedures, and contracts as well as regulatory and statutory requirements for claim products administered.Apply contract/policy provisions to ensure accurate eligibility and liability decisions.Demonstrate and apply analytical and critical thinking skills.Verify on-going liability and develop strategies for return-to-work opportunities as appropriate.Document objective, clear and technical rationale for all