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Prudential is one of the world’s largest financial and insurance services companies. The employer offers eligible employees a comprehensive benefits package t
Senior Disability Claims Examiner, Concierge Team (Virtual)
Location
United States + 3 moreAll locations: United States | India | Indonesia | Tunisia
Posted
71 days ago
Salary
$61.7K - $101K / year
Seniority
Senior
No structured requirement data.
Job Description
Senior Disability Claims Examiner, Concierge Team (Virtual)
Prudential
Job Classification: Operations - Insurance Operations The Financial Services Team, within the Group Insurance Disability Organization, is seeking a Partial Calculation Specialist. The successful candidate will be expected to interpret and calculate partial disability payments according to contractual provisions, procedures, and federal and state regulations. The role will require the ability to analyze information specific to earned income, contractual provisions, and benefits paid to ensure the accuracy of partial disability payments on disability claims as outlined within the policy. What you can expect: - Analyze information on file specific to partial disability payments such as paystubs, timesheets, and other contractual provisions. - Perform calculations of partial disability payments specific to Paid Leave, STD, and LTD. - Offer technical support to the Group Insurance Disability Organization related to partial calculations. - Collaborate with the Group Insurance Disability Organization to address challenges related to adjustments. - Respond to customer service issues within required timeframes to meet customer expectations. What you’ll need: - Minimum of 2 years in Group Insurance of similar claims experience required. - Demonstrated understanding of partial disability calculations. - Demonstrated understanding of all contractual provisions such as Greatest Extent and Return to Work Incentives, that would impact partial disability payments. - Effective communication skills. - Ability to solve complex claim scenarios with some guidance. - Ability to adapt to the changing needs of the organization. - Proficiency in Teams, MS Word, and Excel. #LI-MG1 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 $61,700.00 to $101,900.00. 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.
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Claims Adjuster II, Field Property - National Catastrophe
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Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law. #claims Smoke-Free Iowa Statement: Nationwide Mutual Insurance Company, its affiliates and subsidiaries comply with the Iowa Smokefree Air Act. Smoking is prohibited in all enclosed areas on or around company premises as well as company issued vehicles. The company offers designated smoking areas in which smoking is permitted at each individual location. The Act prohibits retaliation for reporting complaints or violations. For more information on the Iowa Smokefree Air Act, individuals may contact the Smokefree Air Act Helpline at 888-944-2247. For NY residents please review the following state law information: Notice of Employee Rights, Protections, and Obligations LS740 (ny.gov) https://dol.ny.gov/system/files/documents/2022/02/ls740_1.pdf NOTE TO EMPLOYMENT AGENCIES: We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means. 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Property Claims Adjuster II (Northeast Ohio - Greater Cleveland Area)
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If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Territory: This role covers the Greater Cleveland Area in Northeast Ohio and surrounding areas. Ideal Candidate Locations: The ideal candidate will live in the Lake Shore area or surrounding areas in Northeast Ohio. This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual inspection. 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Demonstrated knowledge of the investigation, consultation and settlement activities used to resolve extensive property damage claims. Proven ability to meet customer needs and provide exemplary meaningful service by guiding customers through the claims process and ensuring a positive customer experience. Analytical and problem-solving skills necessary to make decisions and resolve issues related to application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, and application of policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for property losses. Ability to evaluate and successfully advise on property claims. Organizational skills to prioritize work. Command of written and verbal communication skills to effectively communicate with policyholders, claimants, repairpersons, attorneys, agents and the general public. 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Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law. #claims NOTE TO EMPLOYMENT AGENCIES: We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means. 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Large Loss Property Field Claims Adjuster (Baltimore, MD)
American Family InsuranceWe are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email AskHR@AmFam.com to request a reasonable accommodation.
Job Description Summary Lead level role that investigates and maintains highly complex property claims. Determine liability, secure information, reviews coverages, arrange appraisals, and settles claims. Demonstrate experience to perform all areas of claim adjustment activities with the highest degree of competency and independence. You will work in the field and handle complex homeowner property field claims. You will preferably be located in Baltimore, MD area. A fleet vehicle is provided with the position. You will report to a Large Loss Senior Manager. In this primarily field-based role, you will spend your time working in the field, directly interacting with customers. On occasion, you may be asked to travel to an office location for in person engagement activities such as team meetings, trainings, and culture events. Position Compensation Range: $99,000.00 - $163,000.00 Pay Rate Type: Salary Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. Primary Accountabilities - Investigates origin and cause of high exposure claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc. Checks for prior claims and recognizes environmental exposures. - Participates in High Damage Reviews (HDR) to address coverage issues and exposure. Handles claims on a good faith basis. - Handles both 1st party and 3rd party claims under multiple policy types and numerous endorsements. - Conducts on-site inspections when needed, evaluates damages and handles claim negotiations with insureds, claimants, attorneys, public adjusters. - Responds to customer inquiries, makes appropriate decisions, and closes file as needed. - Interprets and determines policies, leases, by-laws, declarations, articles, and contract coverages and applies to all parties for assigned losses. Interprets claim history coverages. - Makes independent decisions but recognizes when assistance is needed. - Proactively provides all parties with claim process and status as appropriate; answers questions or redirects to other areas. - Serves as a mentor and subject matter expert for less experienced adjusters. - May be required to complete other assignments, job duties, or participate in projects based upon skills, achievements, or experience. Specialized Knowledge & Skills Requirements - Demonstrated ability to handle 1st and 3rd party, multi-line claims across our operating territories. - Demonstrated experience providing customer-driven solutions, support or service. - Demonstrated ability to efficiently and effectively handle complex claims. - Extensive knowledge of policies and endorsements coverages. - Successfully applied knowledge of each phase of the claim handling process. - Additional Qualifications - Advanced Xactimate experience required. - 5 or more years’ experience handling field property personal lines claims required. - Prefer someone who has handled claims over $50,000. Licenses - Valid driver's license required plus an acceptable driving record. - Obtain state specific property casualty claims licensing as required. Travel Requirements - Up to 50%. - Catastrophe travel up to 75% as applicable. Physical Requirements - Ascending or descending ladders, stairs, scaffolding, ramps, poles and the like. This position may require employees to visit areas that have a higher hazard than a typical office such as customer homes, body shops, or other locations. - Moving self in different positions to accomplish tasks in various environments including tight and confined spaces. - Adjusting or moving objects up to 50 pounds in all directions. Working Conditions - Low temperatures. - High temperatures. - Outdoor elements such as precipitation and wind. - Noisy environments. - Hazardous conditions. - Poor ventilation. - Small and/or enclosed spaces. Additional Information - Offer to selected candidate will be made contingent on the results of applicable background checks - Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions - Sponsorship will not be considered for this position unless specified in the posting The candidate(s) selected for this role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of American Family Mutual Insurance Company, S.I. #LI-Remote We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits. We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email AskHR@AmFam.com to request a reasonable accommodation. #LI-MR1

