Job Classification: Operations - Insurance Operations Job Description Prudential is a company of smart, ambitious professionals working together across a multitude of disciplines. Together, we are building a better financial future for our customers and our communities around the globe. At Prudential, we understand that a company is only as good as its people. This simple fact is central to all that we do. The Team You will be part of the Long-Term Disability (LTD) Claims team which is part of our Group Insurance Business. We have Long-Term Disability teams based out of New Jersey, Maine, and Arizona as well as fully remote teams. The Role The Long-Term Disability (LTD) Disability Claims Examiner is responsible for providing excellent customer service while managing an assigned block of around 95 to 100 Long-Term Disability claims. You will be expected to utilize judgment and assess risk as you work with various business partners to render claim decisions. As a claim manager you will partner with medical and vocational resources to evaluate disability and support return to work goals. Additional responsibilities include: - Deliver an exceptional customer experience that serves to differentiate Prudential from our competitors and ensures that customer commitments and deliverables are achieved. - Communication via telephone, email, and text with employees, employers, attorneys, and others. - Review and interpret medical records, utilizing resources as appropriate. - Complete financial calculations - Gain an understanding and working knowledge of the Prudential claim system, policies, procedures, and contracts as well as regulatory and statutory requirements for claim products administered. - Apply contract/policy provisions to ensure accurate eligibility and liability decisions. - Demonstrate and apply analytical and critical thinking skills. - Verify on-going liability and develop strategies for return-to-work opportunities as appropriate. - Document objective, clear and technical rationale for all claim determinations and demonstrate the ability to effectively communicate claim decisions to our customers via oral and written communication. - Leverage a broad spectrum of resources, materials, and tools to render claims decisions. - Provide timely and exceptional customer experience by paying appropriate claims accurately and timely, responding to all inquiries and maintaining expected service and quality standards. - Work within a fast-paced environment, with tight deadlines and the ability to balance multiple priorities. - Work independently as well as within a team structure. What You’ll Need to Succeed: - 2 years minimum of prior Long Term Disability Claim Management or highly relevant experience required - Exceptional customer service skills - Proven skills in positive and effective interaction with challenging customers - Strong written and oral communication skills demonstrated in previous work experience (preference for bilingual verbal communication in Spanish and English) - Excellent organizational and time management skills with ability to multitask and prioritize deadlines. - Ability to manage multiple and changing priorities. - Detail oriented; able to analyze and research contract information. - Demonstrated ability to operate with a sense of urgency. - Experience in effectively meeting/exceeding individual professional expectations and team goals. - Demonstrated analytical and math skills. - Ability to exercise critical thinking skills, risk management skills and sound judgment. - Ability to adapt, problem solve quickly and communicate effective solutions. - High level of flexibility to adapt to the changing needs of the organization. - Self-motivated, independent with proven ability to work effectively on a team and work with others in a highly collaborative team environment. - Continuous improvement mindset - A commitment to support a work environment that fosters Diversity and Inclusion - Strong computer literacy and skills with the ability to work within multiple systems; proficiency with PC based programs such as Excel and Word. #LI-IN #LI-Remote What we offer you: 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 $53,300.00 to $88,000.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills. - 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. - 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. 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. To find out more about our Total Rewards package, visit Work Life Balance | Prudential Careers. Some of the above benefits may not apply to part-time employees scheduled to work less than 20 hours per week. Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom. 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. If you need an accommodation to complete the application process, please email accommodations.hw@prudential.com. If you are experiencing a technical issue with your application or an assessment, please email careers.technicalsupport@prudential.com to request assistance.

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Remote PRIMARY PURPOSE: To analyze and process low to mid-level auto and transportation claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. - Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution. - Identifies and pursues subrogation opportunities; secures and disposes of salvage. - Communicates claim action/processing with insured, client, and agent or broker when appropriate. - Maintains professional client relations. - Performs coverage, liability, and damage analysis on all claims assignments. ADDITIONAL FUNCTIONS and RESPONSIBILITIES - Performs other duties as assigned. - Supports the organization's quality program(s). - Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position. Experience Three (3) years of personal line or commercial line property claims management experience or equivalent combination of education and experience required to include knowledge of construction basics. Property estimating software experience a plus. Skills & Knowledge - Familiarity with personal and commercial lines policies and endorsements - Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims. - Knowledge of total loss processing, State salvage forms and title requirements. - Excellent oral and written communication, including presentation skills - PC literate, including Microsoft Office products - Analytical and interpretive skills - Strong organizational skills - Good interpersonal skills - Ability to work in a team environment - Ability to meet or exceed Service Expectations WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $50,000 to $55,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As a Claims Team Lead, Litigation at Reserv, you will be a working leader providing support to a claims manager with leadership and claim technical responsibilities. Leadership responsibilities will include overseeing work done within the Commercial Auto Claims adjusting staff. We want your background and experience to deliver operational effectiveness, particularly in leveraging technology and analytics to drive better efficiencies and performance. You will serve a critical role with the team, the customers, and the client. This role will balance management responsibilities and individual contributor responsibilities when volume dictates the need for assistance with a claim. Qualifications - Highly motivated and growth-oriented, impactful and influential - Claims professional - knowledgeable with a track record of success in commercial auto claims adjudication - Strong leader - demonstrated ability to motivate, support, and teach a team - Tech-oriented - excited by building a tech-driven claims organization - Passionate - cares about their team, the customer, and their experience - Empathetic leader - exercises empathy and patience towards everyone - Sense of urgency - maintains urgency without overworking - Creative - challenges assumptions and leverages technology - Curious - seeks to understand the whole story for better decision-making - Problem solver - able to dive into details while focusing on the big picture - Anti-status quo - takes action to improve processes - Communicative - values phone communications throughout the claims process - Sense of humor - understands the challenges of claims Requirements - 5+ years of insurance claims experience in multiple lines of business with bodily injury experience - 3+ years of leadership experience, preferably in a remote environment - Comfortable with technology and evolving claims systems and processes - Demonstrated commitment to quality, accuracy, and attention to detail - Integrity, ethics, and strong accountability in handling confidential information Benefits - Generous health-insurance package with nationwide coverage, vision, & dental - 401(k) retirement plan with employer matching - Competitive PTO policy – promoting employee well-being - Generous family leave policy after 8 months of continuous work - Work from anywhere to facilitate work-life balance - Apple laptop, large second monitor, and other quality-of-life equipment

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Supervises the Workers' Compensation team. Assists Workers' Compensation Director with process improvements, employee training and development. Diagnoses issues within the department and devises resolution tactics. Duties and Responsibilities - Supervises the Workers' Compensation Department or a group of employees in the department and performs all supervisory responsibilities. - Identifies, manages, and resolves employee performance and disciplinary issues. - Reviews, guides, and recommends actions to ensure fairness and consistency. - Responsible for meeting and maintaining department benchmarks and goals, including revenue, aged and overall production goals. - Develops individual and team benchmarks to encourage high productivity. - Monitors quality and productivity and makes corrections when necessary. - Conducts and reviews daily reports to assess employee and training issues and ensure productive account management. - Reviews, edits and approves denial requests; ensures Claims Specialists are using correct text and respond to questions regarding the denial process. - Develops employees to process their own denials. - Develops and conducts department training; trains new hires in general company and AcciClaim training and department-specific training. - Performs continuous training through activities such as work review, QA sessions, team meetings, one-on-one coaching, etc. - Analyzes accounts to ensure client placements meet the company's requirements and recommends process changes for efficient resolution. - Communicates with clients regarding account questions and concerns; suggests solutions for problems when needed. - Works with other departments to facilitate best practices for overall effectiveness and protocols and procedures. - Performs special projects as assigned. - Maintains confidential information, whether verbal, written or electronic. - Will not access or attempt to access confidential data unrelated to job duties. - Will not disclose Protected Health Information (PHI) in violation of law. - Carries out supervisory responsibilities in accordance with the company's policies and applicable laws. Qualifications - HS diploma or equivalent required; BS/BA strongly preferred. - One to three years Workers' Compensation experience. - One to three years supervisory experience strongly preferred. - Ability to communicate effectively both verbally and in writing. - Working knowledge of computer functions including the internet and Microsoft Office suite; knowledge of or ability to learn AcciClaim. - Thorough understanding of all equipment, methods, and procedures to effectively train new hires and upgrade existing personnel's skills. - Proven ability to analyze and effectively resolve problems. - Ability to organize and prioritize responsibilities and adapt according to situational demands. - Demonstrated sense of personal and professional judgment and maturity. - Willingness to take initiative on projects and responsibilities. - Proven ability to work cooperatively with others. Work at Home Requirements - A quiet, distraction-free environment to work from in your home. - A secure home internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads is required. - The workspace area accommodates all workstation equipment and provides adequate surface area to be productive. - Must reside in the United States within specified states. Company Description Revecore is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status. We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.