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Claims Examiner (Remote)

Prudential Financial

Prudential Financial

null, Pennsylvania, US.



Business and Financial Operations Occupations

Published on 2022-08-04 13:16

Job Classification:

Operations - Insurance Operations

At Prudential, we make lives better by solving the financial challenges of our changing world. Bring your experience and unique insights to a collaborative culture focused on meeting our customer needs!

Enabling Solutions is transforming our Enterprise-wide operating model to be a customer-obsessed organization that inspires all our employees to be bold and better in all that we do.

The Back Office Customer Service (BOCS) organization is seeking a Claims Examiner Associate to join our Group Life Claim Team of Beneficiary Fulfillment. The successful candidate will be trained to adjudicate life insurance claims for Group Insurance with a focus on accuracy, timeliness and appropriate decision making. During in-classroom and on-the-job training, the incumbent will learn how to navigate our claim system, learn about our products, policies, and procedures and how to assist our customers at a time of critical need.

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

Reviews claims and extracts information for processing Collects and processes death and life disability waiver claims Verifies, corrects, and completes claims information by telephone, letter, or personal contact Conducts investigations and gathers supporting documentation on claims Calculates benefits payable Approves (to a specified amount) or denies claims in accordance with established procedures


The characteristics below describe our ideal candidate

Entrepreneurial Mindset

Future State Vision, Present Day Action - Able to keep the long run goals in sight while tackling and overcoming the day-to-day deliverables and challenges. Creative Problem Solver - Evaluates situations from all angles, does not shy away from out of the box solutions that have not been attempted before. Motivated Self Starter - Enthusiastic about tackling challenges and leads the way on getting the ball rolling.

Versatile Communicator and Collaborator

Flexible and Adaptable - Able to flex their style of communication and find new ways to partner to build a cohesive team and maintain progress. High Awareness - Understands how different individuals and groups will react to changes and anticipates future. Persuasive - Able to get team members and business partners on board with the vision and execution of transformation objectives.

Intelligent Risk Taker and Decision Maker

Intelligent Risk Taker - Evaluates situations, understands the challenges, takes the necessary risks to get tasks completed. Decisive – Can make decisions that will be instrumental in moving work forward. Takes Ownership - Takes responsibility for one’s work as if it was their own business.

Low Ego Leadership

Authentic, Thoughtful, Fair, and High Integrity - Treats everyone as equal, listens to different perspectives, and establishes an inclusive environment. Optimistic – Remains positive and inspiring during difficult situations and drives others to be a part of the solution. Embraces Humility – Understands that this job is not about knowing the right answer, it's about finding the right answer.

We also prefer:

Bachelor's degree or equivalent years of industry experience preferred Working knowledge of Life or Disability Claims is a plus

*Note: Prudential is required by Colorado law to include the salary range for this role when hiring a Colorado resident.

Salary range specific to Colorado : $39,600 - $53,700+ discretionary incentive bonus + benefits. 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. In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement.



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.

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.

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