Integrated Disability Claims Examiner

Prudential Financial • Fort Washington, PA

3d • Remote

About The Position

As a Disability Claims Examiner supporting our customers during some of the most important moments of their lives. You will manage a caseload of Short Term Disability and Absence claims, applying sound judgment, analytical expertise, and empathy to deliver optimal claims handling and timely, accurate decisions. This role offers the opportunity to make a meaningful impact while working in a collaborative, performance driven environment that values quality, accountability, and professional growth. The current employee work arrangement for this position is fully virtual and has an estimated start time between 7am and 9am EST. 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.

Requirements

• Open to candidates with diverse professional backgrounds, including hospitality, case management, absence management, and short‑term disability functions.
• Ability to work effectively in a fast paced environment, managing competing priorities with strong organizational and time management skills.
• Demonstrated success in achieving individual development goals and performance objectives.
• Excellent analytical, critical thinking, and decision-making skills.
• Strong written and verbal communication skills, with the ability to explain complex decisions clearly.
• Proven customer service skills with a genuine commitment to helping others.
• Ability to adapt and thrive in a changing, evolving organization.
• Proficiency in a Windows based environment, including Word, Excel, and PowerPoint.
• Highly organized, goal-oriented, and able to manage multiple priorities effectively.
• 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.
• Quiet area in your home with minimal distractions and noise free.
• Reliability and Dependability throughout our extensive training program is required.

Nice To Haves

• 2–3 years of experience managing Short Term Disability and/or Absence claims.
• Previous knowledge of claim and risk management, including contract interpretation and administration.
• College degree preferred or equivalent relevant experience.

Responsibilities

• Accurately manage a block of Short Term Disability and Absence claims by applying contract/policy provisions, leveraging available resources and tools, and ensuring correct eligibility and liability determinations.
• Review and interpret medical records, complete financial calculations, and apply analytical and critical thinking skills to support sound claim decisions.
• Deliver an exceptional, differentiating customer experience by communicating claim decisions clearly and effectively via phone, email, text, and written correspondence to employees, employers, attorneys, and other stakeholders.
• Document objective, clear, and technical rationale for all claim determinations while maintaining knowledge of Prudential's systems, policies, procedures, contracts, and all applicable regulatory and statutory requirements.
• Verify continued liability on active claims and develop strategies for return-to-work opportunities where appropriate.
• Pay appropriate claims accurately and timely, respond to all inquiries, and consistently meet expected service and quality benchmarks.

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).
• 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