Senior Disability Claims Examiner (LTD)
Prudential —Newark, NJ
- $61,700 - $101,900 a year
- Full-time
- Remote
- Spanish
- Microsoft Excel
- Computer literacy
- Employee stock purchase plan
- Disability insurance
Senior Claims Examiner
Markel Service Inc. —Summit, NJ
- $78,000 - $107,250 a year
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- 5 years
- AD&D insurance
- Employee stock purchase plan
Quick Apply
6d
Claims Examiner II - Marine Personal Lines
Markel Service Inc. —Summit, NJ
- $62,000 - $85,800 a year
- Email
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Employee stock purchase plan
Quick Apply
20h
Claim Examiner II, Construction
Markel Service Inc. —Summit, NJ
- $62,400 - $85,800 a year
- Email
- Hybrid work
- Customer service
- Mid-level
- Office
- AD&D insurance
- Employee stock purchase plan
Quick Apply
22h
Senior Claims Examiner, General Liability
Arch Capital Group Ltd. —Jersey City, NJ
- $97,100 - $131,130 a year
- Full-time
- Hybrid work
- Microsoft Word
- Office
- Bachelor's degree
- Paid parental leave
- AD&D insurance
Claims Examiner, General Liability
Arch Capital Group Ltd. —Jersey City, NJ
- $61,900 - $124,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Bachelor's degree
- Travel
- Paid parental leave
- AD&D insurance
Claims Examiner - Fast Track
Transatlantic Reinsurance Co. —New York, NY
- $70,000 - $100,000 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Office
- Paid time off
Sr. Claims Examiner
Berkley —Jersey City, NJ
- $90,000 - $130,000 a year
- Full-time
- 7 years
- Bachelor's degree
- Travel
- Profit sharing
- Health insurance
10d
Liability Claims Examiner Trainee - NY
GREATER NEW YORK MUTUAL INSURANCE COMPANY —Manhattan, NY
- $52,500 - $91,900 a year
- Customer service
- Writing skills
- Research
3d
Commercial Auto Liability & Bodily Injury Claims Examiner
Berkley —Jersey City, NJ
- $85,000 - $115,000 a year
- Full-time
- Hybrid work
- Office
- Bachelor's degree
- Organizational skills
- Profit sharing
- Continuing education credits
Executive Claims Examiner, Miscellaneous Professional E&O
Markel Service Inc. —New York, NY
- $97,520 - $134,090 a year
- Email
- Writing skills
- Mid-level
- Travel
- AD&D insurance
- Employee stock purchase plan
Quick Apply
6d
Senior Claim Examiner-Environmental
Chubb —Jersey City, NJ
- $94,600 - $136,400 a year
- Full-time
- 5 years
- Writing skills
- Travel
14d
Claims Examiner I
MetroPlus Health Plan —New York, NY
- $50,000 - $54,194 a year
- Full-time
- Hybrid work
- Surgery
- Mid-level
- Office
Senior Claims Examiner, Healthcare
Arch Capital Group Ltd. —New York, NY
- $111,100 - $191,628 a year
- Full-time
- Hybrid work
- Microsoft Word
- 5 years
- Bachelor's degree
- Paid parental leave
- AD&D insurance
Executive Claims Examiner, Programs
Markel Service Inc. —New York, NY
- $97,520 - $134,090 a year
- Email
- Hybrid work
- Writing skills
- Team management
- Travel
- AD&D insurance
- Employee stock purchase plan
Quick Apply
6d
Workers' Compensation Examiner, WCB Item #8194
State of New York - Workers' Compensation Board —New York, NY
- $60,506 - $72,630 a year
- Email
- Hybrid work
- Background check
- Mid-level
- Accounting
- Paid parental leave
- Paid holidays
3d
Senior Claims Examiner, Ocean Marine Claims
Markel Service Inc. —New York, NY
- $78,000 - $107,250 a year
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- 5 years
- AD&D insurance
- Employee stock purchase plan
Quick Apply
6d
Liability Claims Examiner - NY
GREATER NEW YORK MUTUAL INSURANCE COMPANY —Manhattan, NY
- $69,100 - $124,400 a year
- Writing skills
- Mid-level
- Analysis skills
Senior Claims Examiner, Casualty
Berkshire Hathaway Specialty Insurance —New York, NY
- $120,000 - $140,000 a year
- 5 years
- Office
- Senior level
- Paid parental leave
- AD&D insurance
Quick Apply
Senior Claims Examiner, Construction
Markel Service Inc. —New York, NY
- $78,000 - $107,250 a year
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- AD&D insurance
- Employee stock purchase plan
Quick Apply
6d

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claims examiner jobs near summit, nj

Senior Disability Claims Examiner (LTD)

Prudential -
Newark, NJ

Apply Now

Job Details

Full-time
$61,700 - $101,900 a year

Benefits

Employee stock purchase plan
Disability insurance
Health insurance
Dental insurance
Military leave
Paid time off
Pension plan
Parental leave
Vision insurance
401(k) matching
Life insurance

Qualifications

Computer operation
Contract documentation review
Customer communication
Contract review
Contract interpretation
Math
Disability benefits programs
Continuous improvement
Customer engagement
Productivity software
Disability benefits management
Risk & issue management
Technical Proficiency

Full Job Description

Job Classification:

Operations - Insurance Operations

Senior Disability Claims Examiner:

Prudential 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 Team

You 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 Role

The Long-Term Disability (LTD) Senior 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 calculations
Gain 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 claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication.
Leverage a broad spectrum of resources, materials, and tools to render claims decisions.
Provide timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to all inquiries and maintaining expected service and quality standards.
Work within a fast-paced environment, with tight deadlines and the ability to balance multiple priorities.
Provide technical direction and/or mentorship to other claims personnel as needed.
Work independently as well as within a team structure.

What you’ll need to succeed:

4+ years of experience in Long Term Disability Claim Management required
Exceptional customer service skills
Ability to solve complex claim scenarios with minimal mentorship
Excellent claim/risk management skills and technical knowledge in contract interpretation and administration
Proven skills in positive and effective interaction with challenging customers
Strong written and oral communication skills demonstrated in previous work experience (preference for bilingual verbal communication in Spanish and English)
Excellent organizational and time management skills with ability to multitask and prioritize deadlines.
Ability to manage multiple and changing priorities.
Detail oriented; able to analyze and research contract information.
Demonstrated ability to operate with a sense of urgency.
Experience in effectively meeting/exceeding individual professional expectations and team goals.
Demonstrated analytical and math skills.
Ability to exercise critical thinking skills, risk management skills and sound judgment.
Ability to adapt, problem solve quickly and communicate effective solutions.
High level of flexibility to adapt to the changing needs of the organization.
Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment.
Continuous improvement mindset
A commitment to support a work environment that fosters Diversity and Inclusion
Strong computer literacy and skills with the ability to work within multiple systems; proficiency with PC based programs such as Excel and Word.

#LI-MG1

What we offer you:

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 $61,700.00 to $101,900.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills.

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. To find out more about our Total Rewards package, visit Work Life Balance | Prudential Careers. Some of the above benefits may not apply to part-time employees scheduled to work less than 20 hours per week.

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.

If you need an accommodation to complete the application process, please email [email protected].

If you are experiencing a technical issue with your application or an assessment, please email [email protected] to request assistance.

Apply Now

Refine Your Search

claims examiner jobs in summit, nj

Senior Disability Claims Examiner (LTD)

Senior Claims Examiner

Claims Examiner II - Marine Personal Lines

Claim Examiner II, Construction

Senior Claims Examiner, General Liability

Claims Examiner, General Liability

Claims Examiner - Fast Track

Sr. Claims Examiner

Liability Claims Examiner Trainee - NY

Commercial Auto Liability & Bodily Injury Claims Examiner

Executive Claims Examiner, Miscellaneous Professional E&O

Senior Claim Examiner-Environmental

Claims Examiner I

Senior Claims Examiner, Healthcare

Executive Claims Examiner, Programs

Workers' Compensation Examiner, WCB Item #8194

Senior Claims Examiner, Ocean Marine Claims

Liability Claims Examiner - NY

Senior Claims Examiner, Casualty

Senior Claims Examiner, Construction

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