1+ months

Claims Examiner - BEN0000S

  • Job Code
Primary Location United States

The Claims Examiner 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 in order 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:

  • 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



  • Bachelors degree preferred or equivalent work experience
  • Work experience in the life insurance industry a plus
  • Demonstrates strong problem solving and analytical skills
  • Possesses solid customer service skills and ability to empathize with customers
  • Detail oriented
  • Ability to exercise sound judgment and risk assessment during claim adjudication
  • Strong written and oral communication skills
  • Ability to work in a fast-paced environment and meet metrics
  • High level of flexibility to adapt to the needs of the team, division/organization
  • Strong PC skills (Windows based environment)

@!*!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.
Job Posting:@false


Posted: 2020-04-24 Expires: 2020-06-22

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