Job Information
Prudential Claims Examiner (Remote) - R-116786 in Fort Washington, Pennsylvania
Claims Examiner (Remote) - R-116786
DESCRIPTION/RESPONSIBILITIES: Job Classification: Operations - Insurance Operations
The USB Service organization is seeking a Claims Examiner Associate to join our Group Life Claim Team of Beneficiary Fulfillment. The successful candidate will be trained to adjudicate life insurance claims for Group Insurance with a focus on accuracy, timeliness and appropriate decision making. During in-classroom and on-the-job training, the incumbent will learn how to navigate our claim system, learn about our products, policies, and procedures and how to assist our customers at a time of critical need.
The successful candidate will be responsible for effectively adjudicating claims to meet production, quality, and service metrics in accordance with policy/procedures and regulatory guidelines. This entails working with both internal and external partners to obtain information required for claim handling. The Claims Examiner also:
KEY RESPONSIBILITIES * Reviews claims and extracts information for processing * Collects and processes death and life disability waiver claims * Verifies, corrects, and completes claims information by telephone, letter, or personal contact * Conducts investigations and gathers supporting documentation on claims * Calculates benefits payable * Approves (to a specified amount) or denies claims in accordance with established procedures
Qualifications: The characteristics below describe our ideal candidate
Entrepreneurial Mindset * Future State Vision, Present Day Action - Able to keep the long run goals in sight while tackling and overcoming the day-to-day deliverables and challenges. * Creative Problem Solver - Evaluates situations from all angles, does not shy away from out of the box solutions that have not been attempted before. * Motivated Self Starter - Enthusiastic about tackling challenges and leads the way on getting the ball rolling.
Versatile Communicator and Collaborator * Flexible and Adaptable - Able to flex their style of communication and find new ways to partner to build a cohesive team and maintain progress. * High Awareness - Understands how different individuals and groups will react to changes and anticipates future. * Persuasive - Able to get team members and business partners on board with the vision and execution of transformation objectives.
Intelligent Risk Taker and Decision Maker * Intelligent Risk Taker - Evaluates situations, understands the challenges, takes the necessary risks to get tasks completed. * Decisive - Can make decisions that will be instrumental in moving work forward. * Takes Ownership - Takes responsibility for one's work as if it was their own business.
Low Ego Leadership * Authentic, Thoughtful, Fair, and High Integrity - Treats everyone as equal, listens to different perspectives, and establishes an inclusive environment. * Optimistic - Remains positive and inspiring during difficult situations and drives others to be a part of the solution. * Embraces Humility - Understands that this job is not about knowing the right answer, it's about finding the right answer.
We also prefer: * Bachelor's degree or equivalent years of industry experience preferred * Working knowledge of Life or Disability Claims is a plus
Additional Requirements: This position will work virtually, therefore new hires must be able to provide the following: * Subscribe to internet service provider plan with at least 25 Mbps download speeds. You 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. Your personal phone number will not be identified to customers. * Quiet area in your home with minimal distractions and noise free. * Reliability and Dependability throughout our extensive training program is re uired
RSRPRUD Note: 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 $39,400.00 to $58,500.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills. Roles may also be eligible for additional compensation and/or benefits. 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. In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement.
Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom.
Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, national origin, genetics, disability, marital status, age, veteran status, domestic partner status , medical condition or any other characteristic protected by law.
The Prudential Insurance Company of America, Newark, NJ and its affiliates.
Note that this posting is intended for individual applicants. Search firms or agencies should email Staffing at staffingagencies@prudential.com for more information about doing business with Prudential.
PEOPLE WITH DISABILITIES: If you need an accommodation to complete the application process, which may include an assessment, please email accommodations.hw@prudential.com.
Please note that the above email is solely for individuals with disabilities requesting an accommodation. If you are experiencing a technical issue with your application or an assessment, please email careers.technicalsupport@prudential.com to request assistance.