Associate Manager, Claim Resource Group (CRG)

Job Classification:

Finance & Accounting - Finance & Accounting

At Prudential, we believe talent is key to achieving our vision. When you join Prudential, you’ll unlock a motivating and impactful career – all while growing your skills and advancing your profession at one of the world’s leading financial services institutions!

The Associate Manager, Claim Resource Group (CRG) will have administrative responsibility for staff supporting the CRG and to ensure all aspects of the operation are handled efficiently, promoting and managing vendor relationships while providing technical expertise on disability claims.

The current employee work arrangement for this position is fully virtual. While this position does not require your on-site presence on a regular basis, depending on business preferences, there may be occasions where you are required to be on-site at a Prudential office.

What you can expect:

• Provide the highest level of investigative support for a claims organization and is an expert in all aspects of claim management.

• Act as a liaison with our internal and external business partners including our claims organization, Corporate Investigations Department, vendors and legal department.

• Assist in the development and coordination of Fraud training for the claims organization and identification of potential claim misrepresentation.

• May conduct analysis of referrals received to determine if they meet investigative criteria, assigns the claim to an investigative vendor and 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.

• May perform social media reviews, database checks, and arrange for surveillance with our investigative vendors.

• May represent the company at depositions and court appearances.

What you’ll need:

• Minimum of 5 years’ experience in disability claim management

• Ability to effectively coach and mentor other employees and transfer knowledge effectively

• 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, negotiation and workload management skills

• Capability to identify and implement process improvements and to organize and analyze information to ensure objectives are met

Prudential welcomes all applicants, even if you don't meet every requirement. If your skills align with the role, we encourage you to apply.

At Prudential, you can:

Take charge of your career. We equip and empower our employees to expand their skills and experience by using powerful learning, gigs, and job opportunities. We offer a suite of services such as on demand resources and networking to propel your career forward.

We’re a global organization, full of outstandingly dedicated people who aren’t afraid to think differently, challenge the status quo and take sensible risks along the way. You will enjoy pushing boundaries as we build innovative technology that helps clients, customers and employees live their best lives. You will have access to leadership and learning opportunities and the resources needed to take your career in any direction. We will help you do your best work, offering flexibility, while delivering on our Purpose.

What we offer you:

• 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

• Retirement plans: 401(k) plan with company match (up to 4%), company-funded pension plan

• Wellness Programs to help you achieve your wellbeing goals, 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.

• Tuition Assistance to help finance traditional college enrollment toward obtaining an approved degree, many accredited certificate programs, and industry designations.

• 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.

To find out more about our Total Reward package, see our Total Rewards Brochure. Some of the above benefits may not apply to part-time employees scheduled to work less than 20 hours per week.

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Note: 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 $90,100.00 to $134,100.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills. Roles may also be eligible for additional compensation and/or 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.