Senior Claims Examiner at Prudential Ins Co of America in Scranton, Pennsylvania

Job Description:

The Claims team is both a faced-paced and high-volume team that processes and reviews hundreds of retirement-related transactions per month.  The Sr. Claims Examiner is both an individual contributor, responsible for managing a caseload of cases to be processed and/or quality reviewed, while also being part of a larger team with common goals and objectives all while creating a positive experience for our clients and annuitants.  The successful candidate will produce timely and accurate results, support the team in various initiatives, and possibly represent the team in project work and initiatives.

The successful candidate will be a team player with a positive attitude whose responsibilities include:

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  Process and quality review a variety of transactions to include retirement benefit estimates and payments, benefit adjustments and recalculations;

  
  


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  Research, interpret, and calculate retirement benefits according to Plan provisions, federal and state regulations, and established procedures;

  
  


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  Review incoming paperwork and documentation for “good order”;

  
  


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  Validate and update participant records;

  
  


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  Consistently meet quality and productivity standards;

  
  


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  Collaborate with peers and business partners to obtain answers/achieve objectives; and

  
  


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  May represent the team in projects and initiatives.
  
   

  
  

Qualifications include:

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  College degree or minimum of 1-2 years equivalent work experience;

  
  


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  Prior claims experience in a defined benefit or benefits role is preferred;

  
  


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  Experience in a transaction processing and service-oriented environment that includes quality and productivity standards, and meeting service level agreements;

  
  


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  Strong mathematical and analytical skills;

  
  


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  Demonstrated decision making and solutioning in times of ambiguity;

  
  


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  Ability to communicate both verbally and in writing;

  
  


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  Flexible with the ability to multitask and manage conflicting priorities;

  
  


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  Strong attention to detail;

  
  


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  Proficient with MS Office, specifically Word and Excel;

  
  


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  Ability to work independently and as part of a team; and

  
  


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  Flexibility to work overtime when required.

  
  

RSRPRUD

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