Claims Examiner (OSGLI)

Prudential Financial • Moosic, PA

1d • Remote

About The Position

The Office of Servicemembers' Group Life Insurance (OSGLI) administers the Servicemembers' Group Life Insurance program (SGLI), offering life insurance products to active-duty service members, Veterans, and their families. Prudential is seeking a Claims Examiner for the OSGLI. This role involves reviewing and processing death claims, verifying and correcting claim information via telephone, letter, or email, and conducting investigations to gather supporting documentation. The Claims Examiner will also calculate benefits, approve payments within authorization limits, or deny claims according to established procedures. Prudential has been recognized as a "Top 100 Military Friendly Employer," and veterans are encouraged to apply. This position is located in Prudential's office in Newark, NJ, but will be performed FULLY REMOTE. Candidates must be able to reside within 60 miles of specific Prudential offices in case of technical issues or company events.

Requirements

• Bachelor's degree, or equivalent military experience, preferred.
• 2 to 5 years of claims management experience, preferred.
• Strong customer focus skills with high ability to empathize with customers.
• Ability to learn and retain a large amount of technical information.
• Ability to analyze data on claims and make appropriate claim decisions.
• Strong problem solving, strategic thinking and analytical skills.
• Ability to prepare replies to claim inquiries.
• Excellent PC skills and strong working knowledge of windows-based applications.
• Proven self-motivation skills.
• Excellent oral and written communications skills.
• Partnership skills with an ability to excel in a team environment and be a team player, as well as work well independently.
• Ability to prioritize work and excel in a fast-paced, metric driven environment.
• Excellent time management and organizational skills.
• Attention to details a must.
• Ability to work overtime based on work volumes.
• Candidates must be able to work 9am - 5:00pm Eastern Time Monday-Friday.
• Subscribe to internet service provider plan with at least 25 Mbps download speeds.
• 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.
• Quiet area in your home with minimal distractions and noise free.
• Reliability and Dependability throughout our extensive training program is required.

Responsibilities

• Manage a book of pending claims through effective time management to ensure timely payments.
• Process decisions on claims through claim management system (Promise 360) and/or new business application (Compass).
• Approve and deny claim payments within authorization limits.
• Render decisions on disability extension requests and traumatic injury claims within authorization limits.
• Obtain necessary information for claim decisions from various sources including, but not limited to, the Veterans Administration, branches of service, beneficiaries, attorneys, and police departments.
• Correspond with claimants, law department, underwriting, Casualty Assistance Officers, attorneys, the Veterans Administration, and other interested parties through the life of a claim.
• Prioritize work to ensure meeting of performance standards.
• Other duties as assigned.

Benefits

• 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 purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree