Serve as a key liaison between the customer's benefits team and Prudential operational teams, supporting system integration, data process flows, and issue resolution.
Support claims and leave administration by resolving data exchange issues, addressing program questions, guiding claim inquiries, and responding to requests related to claims, coverage verification, contact information, and documentation.
Partner with customer stakeholders, including Human Resource Benefit Consultants and managers, to troubleshoot systems, resolve data discrepancies, and address issues related to claim and program management.
Identify employee and manager pain points within the Prudential-managed leave process and recommend targeted enhancements to improve clarity, responsiveness, and the overall employee experience.
Drive process improvement opportunities that strengthen alignment, operational efficiency, and service delivery between the customer and Prudential.
Collaborate with the Relationship Manager, Concierge Team, Account Management, and internal business partners to address escalations, monitor emerging trends, and support timely resolution of issues.
Participate in partnership meetings and operational check-ins, review reports, and compile dashboards and performance results to support service oversight and account management.
Contribute to presentations, customer meetings, new hire onboarding, and system or reporting audits, as needed.
Required Qualifications:
Excellent communication skills, including direct interaction with customers and the ability to tailor messages based on the customer needs
Strong analytical and problem-solving skills working on data integration projects
Excellent interpersonal skills with the ability to build and cultivate partnerships with Group Insurance customers, their technology partners, TPA's and internal business partners
Proven track record of delivering results, with the ability to meet deadlines in a fast-paced environment
Demonstrated ability to perform data quality assessment and data testing
Ability to work independently, prioritize deliverables and drive to solutions
Experience with Text, CSV / fixed width file formats desired
Expertise on claims and/or timekeeping systems is highly desired
Knowledge of Group Insurance products highly desired
Ability to build new and mature existing business processes to be used by others is highly desired
Working knowledge of APIs and SSO highly desired
Bachelor's degree or equivalent work experience
Requirements
Three years in group insurance operations or claims experience preferred
Knowledge of group life insurance products (BGL, OGL, ODL, OADD, GUL) and claims processes
Experience supporting large client groups and harmonized service models
Demonstrated focus on continuous improvement and adaptability to changing needs
Excellent presentation skills and ability to facilitate meetings
Bilingual skills or experience supporting diverse client populations
This position requires 5-10% travel.
Why Join Us:
You will help shape a new, high-impact service model, directly influencing client satisfaction, operational excellence, and process innovation across Prudential and Advocate.
What we offer you:
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 p
Benefits
Health insuranceDental insuranceVision insurance401(k)Paid time offEquity / stock optionsPerformance bonusParental leave
Additional Information
Job Classification:
Sales - Sales
Role Overview:
This role serves as the main link between our client and Prudential operations, helping claims, leave processes, and system/data issues run smoothly. The work centers on resolving inquiries, troubleshooting data exchanges, supporting managers and stakeholders, improving processes, tracking operational issues, and reporting on performance. It also includes regular partnership meetings, escalation support, quarterly performance guarantee support, and occasional presentations, audits, and onboarding support for new hires.
Pru · Newark, NJ