Disability Claims Examiner II - Bilingual Preferred

Disability Claims Examiner II – Bilingual Preferred

2-3 year minimum of prior Long Term Disability Claim Management or highly relevant experience required
Exceptional customer service skills
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.

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
Work independently as well as within a team structure.