You are viewing a preview of this job. Log in or register to view more details about this job.

Paid Leave Claim Examiner

The Paid Leave Claim Examiner will be responsible for handling a claim block of state paid leave claims.  The Claim Examiner is accountable for ensuring optimal claims handling and timely, accurate decisions.  In addition, the role requires but is not limited to the following skills:

  • Will effectively and accurately manage a block of State Paid Leave, Disability, and Absence claims.
  • Focus on customer experience to deliver the best experience for our customers.
  • Demonstrated ability to deliver accurate, dependable, and trustworthy service to our customers.
  • A strong customer focus evidenced through maintaining customer relationships.

JOB REQUIREMENTS:

  • 1 year in Short Term Disability, Absence, or Paid Leave claim management, or related health claim field experience desired.
  • Claim/risk management skills and technical knowledge in contract interpretation and administration.
  • Ability to work in a fast-paced environment.
  • Success in achieving Individual Development goals.
  • Goal oriented with an ability to organize and analyze information.
  • Strong critical thinking skills, communication, organization and time management skills.
  • Proven customer service skills.
  • Demonstrated ability to adapt to the changing needs of an organization.
  • PC skills required (i.e., Windows based environment; Word; Excel; PowerPoint).

Additional Requirements:

This position will work virtually, therefore new hires must be able to provide the following & all new hires who work remotely will be held accountable to these standards:

  • Subscribe to internet service provider plan with at least 25 Mbps download speeds. You must be willing to troubleshoot any issues or outages with your home internet service, contacting your service provider as necessary.
  • Must have the capability to handle calls with a cell phone (would need to have unlimited data and minutes) or a landline.  Your personal phone number will not be identified to customers.
  • Quiet area in your home with minimal distractions and noise free.
  • Reliability and Dependability throughout our extensive training program is required.

At Prudential, you can:

Take charge of your career. We equip and empower our employees to expand their skills and experience by using powerful learning, gigs, and job opportunities. We offer a suite of services including 1:1 Career advice, on demand resources and networking to propel your career forward.

We’re a global organization, full of outstandingly dedicated people who aren’t afraid to think differently, challenge the status quo and take sensible risks along the way. You will enjoy pushing boundaries as we build innovative technology that helps clients, customers and employees live their best lives. You will have access to leadership and learning opportunities and the resources needed to take your career in any direction. We will help you do your best work, offering flexibility, while delivering on our Purpose.

What we offer you:

  • 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.
  • Retirement plans: 401(k) plan with company match (up to 4%)
  • 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.
  • Tuition Assistance to help finance traditional college enrollment toward obtaining an approved degree, many accredited certificate programs, and industry designations.

To find out more about our Total Reward package, see our Total Rewards Brochure. Some of the above benefits may not apply to part-time employees scheduled to work less than 20 hours per week.