Clinician (Virtual)

For over 100 years, Prudential’s diverse and talented employees have been committed to helping customers and their families grow and protect their wealth through a variety of products and services, including Group Insurance. We are known for delivering on our promises and are recognized as a trusted brand and one of the world’s most admired companies.

The Business: 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 current EWA 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: In this role, you will be reviewing medical documentation in case files to make determinations on medically supported restrictions and limitations for clients. Our clinicians work in collaboration with our claim’s teams, our physicians, our return-to-work coordinators, and vocational departments to resolve the best course for claim management.

Review and assessment of primarily complex illness and injury claims. Identify restrictions and limitations based on physiological, psychological, and social factors to assist claim management staff in their claim handling activities. Assist in strategy as well as identifying appropriate utilization of additional clinical, vocational, or other resources which will require excellent analytical and critical thinking skills. Apply effective written and verbal communication skills to document clinical assessments; contact Treating Providers; engage in discussions with other resources including but not limited to Disability Claim Team Members, Clinical Peers, and Vocational Rehabilitation Counselor Resources. Demonstrate urgency and adaptability to address the demands of a fast-paced environment, while consistently achieving established quality and quantity performance standards. Ability to work independently with minimal direct supervision.