Complex Claim Manager
Prudential - Portland, ME

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Qualifications:
8+ years experience in direct LTD claim management & 3 to 5 years in Complex Claim management preferred.

Ability to make solid judgments based on years of experience in disability claims management.

College degree or some higher level of education is preferred.

Excellent communication skills (written & verbal) that includes strong negotiating and influencing expertise.

Strong mathematical skills and in-depth knowledge of medical terminology.
The Complex Claim Manager will manage a high risk, high exposure block for disability claims. Is an expert in all components of LTD claim management and demonstrates an intricate understanding of all aspects of LTD claim management / adjudication. Influences external constituents (attorneys, TAP, etc) to achieve appropriate claim outcomes in complex or difficult situations. Makes claim payments in accordance with the terms and conditions of the contracts while successfully navigating difficult negotiations. Preference for 8+ years experience in direct LTD claim management and 3-5 years in Complex Claim management. Leverages all available resources to determine initial and ongoing LTD eligibility. Ability to make solid judgments based on years of experience in disability claim management. Negotiates settlements. Operates independently but may receive specialized consulting from more experienced members of the Complex Claims team. College degree or some higher level of education is preferred. Identifies trends and assists in revising claim processes. Excellent communication skills (written and verbal) that includes strong negotiating and influencing expertise. Strong mathematical skills and indepth knowledge of medical terminology.The Complex Claim Manager will manage a high risk, high exposure block for disability claims. Is an expert in all components of LTD claim management and demonstrates an intricate understanding of all aspects of LTD claim management / adjudication. Influences external constituents (attorneys, TAP, etc) to achieve appropriate claim outcomes in complex or difficult situations. Makes claim payments in accordance with the terms and conditions of the contracts while successfully navigating difficult negotiations. Preference for 8+ years experience in direct LTD claim management and 3-5 years in Complex Claim management. Leverages all available resources to determine initial and ongoing LTD eligibility. Ability to make solid judgments based on years of experience in disability claim management. Negotiates settlements. Operates independently but may receive specialized consulting from more experienced members of the Complex Claims team. College degree or some higher level of education is preferred. Identifies trends and assists in revising claim processes. Excellent communication skills (written and verbal) that includes strong negotiating and influencing expertise. Strong mathematical skills and indepth knowledge of medical terminology.

Prudential - 10 months ago - save job - block
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For more than 135 years, Prudential has addressed financial challenges for its individual and institutional customers. Today, with...