Senior Claims Examiner (Virtual/Remote)

Full Time
Florida
Posted
Job description

Job Classification:

Operations - Insurance Operations

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:

  • Creating a fast, accurate, and seamless experience for the beneficiary

  • Verifies, corrects, and completes claims information by telephone, letter, or personal contact

  • Communicating to our beneficiaries and advisors in a professional manner, both verbal and written to bring claims into good order

  • Reviews claims and extracts information for processing

  • Calculates benefits payable

  • Determining good order of requirements and processing the claim

  • Apply procedures and interpret contractual provisions

  • Participate in projects as needed

Qualifications:

  • Equivalent industry experience preferred

  • Working knowledge of Life Claims is a plus

  • Ability to work in a fast-paced environment

  • Ability to build strong relationships with your team and leaders

  • Exceptional verbal and written communication skills

  • Impeccable organization, time management, and problem-solving skills

  • Enjoy the challenge of working in an ever-changing and fast-moving environment.

  • Be a positive change agent, approaching each task with a ‘can do’ attitude with a goal of motivating and inspiring those around them.

  • Have proven, strong communication skills.

  • Be willing to learn new things.

  • Have strong organizational skills and be detail oriented.

    Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom.

    Prudential is a multinational financial services leader with operations in the United States, Asia, Europe, and Latin America. Leveraging its heritage of life insurance and asset management expertise, Prudential is focused on helping individual and institutional customers grow and protect their wealth. The company's well-known Rock symbol is an icon of strength, stability, expertise and innovation that has stood the test of time. Prudential's businesses offer a variety of products and services, including life insurance, annuities, retirement-related services, mutual funds, asset management, and real estate services.

    We recognize that our strength and success are directly linked to the quality and skills of our diverse associates. We are proud to be a place where talented people who want to make a difference can grow as professionals, leaders, and as individuals. Visit www.prudential.com to learn more about our values, our history and our brand.

    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.

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