Analyze reported lower - level general liability claims for Sedgwick. Ensure ongoing adjudication of claims within company standards and industry best practices while working in a hybrid schedule.
About the role
- Associate Disability Claims Examiner managing a block of routine Disability claims for Prudential. Focus on customer experience and accurate claims handling in a remote environment.
Responsibilities
- Will effectively and accurately manage a block of routine Disability claims.
- Focus on customer experience to deliver the best experience for our customers.
- Demonstrate ability to deliver accurate, dependable, and trustworthy service to our customers.
- A strong customer focus evidenced through maintaining customer relationships.
Requirements
- 1 year in Short Term Disability claim management, or related health claim field experience desired.
- Strong written and verbal communication skills demonstrated in previous work experience (preference for Bilingual verbal communication in Spanish and English)
- Proven customer service skills.
- Claim/risk management skills and technical knowledge in contract interpretation and administration.
- PC skills required (i.e., Windows based environment; Word; Excel; PowerPoint).
- It’d be a plus if you had: Bi-Lingual in Spanish and English languages.
- Success in achieving Individual Development goals.
- Results oriented with an ability to organize and analyze information.
- Strong organization, critical thinking and time management skills.
- Demonstrated ability to adapt to the changing needs of an organization.
Benefits
- Medical, dental, vision, life insurance, disability insurance
- Paid Time Off (PTO)
- 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
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