Job Classification:
Operations - Insurance OperationsAt 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!
The Capability Specialist is the crucial link between the short-term disability (STD) and long-term disability (LTD) organizations, ensuring smooth claims transitions and managing the duration or return-to-work opportunities of claims. You will maintain a caseload and co-manage claims with the Disability Claim Managers through the STD and LTD processes.
The current employee work arrangement for this position is fully virtual. 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:
Collaborate with the Transition Advisor via the EvolutionIQ (EIQ) portal to review and manage claims flagged for LTD transition or return to work.
Evaluate claims to determine appropriate categorization and take necessary actions, including outreach to stakeholders and referring cases to clinical or vocational teams.
Ensure smooth transitions between STD and LTD organizations.
Co-manage a caseload of disability claims, ensuring optimal duration and appropriate handling.
Make informed decisions on claims based on individual nuances.
Identify and manage return-to-work opportunities.
Gather and prepare necessary information for LTD transitions.
Co-adjudicate claims accurately using the DCMS claim system
What you’ll need:
In-depth understanding of both STD and LTD processes.
Knowledge of pre-existing conditions and their impact on claims.
Proficiency in using the DCMS claim system.
Strong critical thinking, decision-making, and problem-solving skills.
Excellent communication and interpersonal skills.
Minimum of three to five years of experience managing disability claims.
Experience with EvolutionIQ and handling related alerts.
Customer-focused mindset, excellent time management, flexibility, and a growth mindset
Prudential welcomes all applicants, even if you don't meet every requirement. If your skills align with the role, we encourage you to apply.
At Prudential, you can:
Take charge of your career. We equip and empower our employees to expand their skills and experience by using powerful learning, gigs, and job opportunities. We offer a suite of services such as on demand resources and networking to propel your career forward.
We’re a global organization, full of outstandingly dedicated people who aren’t afraid to think differently, challenge the status quo and take sensible risks along the way. You will enjoy pushing boundaries as we build innovative technology that helps clients, customers and employees live their best lives. You will have access to leadership and learning opportunities and the resources needed to take your career in any direction. We will help you do your best work, offering flexibility, while delivering on our Purpose.
#LI-RR
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 accommodations.hw@prudential.com.
If you are experiencing a technical issue with your application or an assessment, please email careers.technicalsupport@prudential.com to request assistance.
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