Job Classification:

Operations - Insurance Operations

At Prudential, we believe talent is key to achieving our vision. When you join Prudential, you’ll unlock a motivating and impactful career – all while growing your skills and advancing your profession at one of the world’s leading financial services institutions! 

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. 

What you can expect: 

• 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. 

What you’ll need: 

• 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.