5 days old

Disability Claims Specialist - LTD0003A

Portland, ME
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Primary Location United States-Maine-Portland (ME)

The Disability Claims Specialist will perform social media reviews, database checks, and arrange for surveillance with our investigative vendors.  Conducts analysis of referrals received to determine if they meet investigative criteria, assigns the claim to an investigative vendor, ensures the vendor has all claim related documentation for the case. May prepare written reports summarizing the results of social media investigations and recommended investigative action plans. Provides the highest level of investigative support for a claims organization and is an expert in all aspects of claim management.  Assists in the development and coordination of investigative training for the claims organization and with identification of potential claim misrepresentation.  Acts as a liaison with our internal and external business partners.

*This position can be done remotely/virtually

  • Minimum of 5 years experience in disability claim management
  • Strong internet investigative skills and regular use of social media
  • Excellent written and verbal communication skills
  • Solid understanding of LTD contracts and complex provisions
  • Demonstrated ability to review medical and other claim records, utilize resources optimally and set appropriate claim management direction
  • High attention to detail and excellent critical thinking skills with strong ability to identify and resolve inconsistencies in claim information
  • Ability to appropriately engage other claim management resources
  • Strong prioritization and workload management skills
  • Ability to effectively coach and mentor other employees and transfer knowledge effectively
  • Capability to identify and implement process improvements and to organize and analyze information to ensure objectives are met


@!*!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 companys 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. For more information please visit www.prudential.com.

Prudential is not accepting unsolicited resumes from search firms for this open position unless contracted with Staffing. Agencies must work with Staffing as the primary point of contact and follow the Prudential application process to be considered for business. All resumes submitted by search firms to any employee at Prudential via-email Internet or directly to hiring managers in any form without a valid written search agreement in place for that position will be deemed the sole property of Prudential and no fee will be paid in the event the candidate is hired by Prudential.
Note: Any search agreement entered into with Prudential before January 2004 is null and void. Search firms are essential to the recruitment and staffing efforts at Prudential and we value the partnerships we have built with our preferred vendors. Prudential has established and regularly maintains a preferred vendor list and even preferred vendors need to have a written search agreement signed by the Director Recruiting Programs Staffing at Prudential in place for the specific position in order for a fee to be paid for any candidate referrals.
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Posted: 2020-05-21 Expires: 2020-06-20
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Disability Claims Specialist - LTD0003A

Portland, ME

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