Senior Disability Claims Examiner (Overpayment Recovery Specialist) - Virtual
Senior Disability Claims Examiner (Overpayment Recovery Specialist) - Virtual
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
$ 64100 - 95300
1 Vacancy
Job Description
Job Classification:
Operations - Insurance OperationsThis role requires the ability to partner closely with claim manager and provide expertise regarding taxes offset and financial calculations.
Job Responsibilities:
- Responsible for written communication of overpayments.
- Recovers overpayment that have occurred on Paid Leave STD and LTD claims.
- Performs recalculations of benefits paid on Paid Leave STD and LTD claims.
- Processes incoming checks.
- Applies cyclical withholdings of benefits to apply toward overpayments.
- Manages the ACH process for the transfer of funds applied to an overpayment.
- Provides technical support for claims team in the financial aspects of claim management.
- Demonstrates an intimate understanding of all aspects of LTD STD and Paid Leave claim management/adjudication.
- Assists in the development and coordination of training for claim teams.
- Works with the team to address challenges relating to contract interpretation procedures and complex claim assistance and/or direction.
- Responds to customer service issues within required timeframes to meet customer expectations.
Qualifications:
- BA/BS or equivalent combination of education and disability insurance experience.
- 3 years of Disability Claims (STD Waiver and/or LTD) or Collections experience required.
- Excellent organizational and time management skills.
- Strong written and communication skills demonstrated in previous work experience.
- Specific experience with collaborative negotiations and influencing others.
- Proven skills in positive and effective interaction with challenging customers.
- Demonstrated analytical and math skills.
- Ability to exercise sound judgment.
- High level of flexibility to adapt to the needs
Additional Requirements:
This position will work virtually therefore new hires must be able to provide the following & all new hires who work remotely will be held accountable to these standards:
- Subscribe to internet service provider plan with at least 25 Mbps download speeds. You must be willing to troubleshoot any issues or outages with your home internet service contacting your service provider as necessary.
- Must have the capability to handle calls with a cell phone (would need to have unlimited data and minutes) or a landline. Your personal phone number will not be identified to customers.
- Quiet area in your home with minimal distractions and noise free.
- Reliability and Dependability throughout our extensive training program is required.
#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 $64100.00 to $95300.00. 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 $1600 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 .
If you are experiencing a technical issue with your application or an assessment please email to request assistance.
Required Experience:
Senior IC
Employment Type
Full-Time
