Posted in Insurance 21 days ago.
Type: Full-Time
Job Classification:
Operations - Insurance OperationsThe Absence Claim Examiner will be responsible for administering Family Medical Leave Act (FMLA) along with unpaid State leave policies and manage a block of 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:
Responsibilities:
• Assists associates with leave of absence requests and guides them through the process
• Processes all leave of absence paperwork according to established procedures and laws
• Provides timely and accurate responses to associates and all levels of management concerning day-to-day issues and activities
• Administer the FMLA policy
• Review FMLA documentation for accuracy and completeness.
• Make recommendations to approve or deny requests for FMLA based on federal regulations.
• Coordinates correspondence, forms and other documents via the claim system
• Contact Providers for clarification
• Focus on customer experience to deliver the best experience for our customers
• Demonstrated ability to deliver accurate, dependable, and trustworthy service to our customers.
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:
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:
To find out more about our Total Reward 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.
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Note: 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 $39,400.00 to $58,500.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills. Roles may also be eligible for additional compensation and/or benefits. 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. In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement.
Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom.
Prudential is a multinational financial services leader with operations in the United States, Asia, Europe, and Latin America. Leveraging its heritage of life insurance and asset management expertise, Prudential is focused on helping individual and institutional customers grow and protect their wealth. The company's well-known Rock symbol is an icon of strength, stability, expertise and innovation that has stood the test of time. Prudential's businesses offer a variety of products and services, including life insurance, annuities, retirement-related services, mutual funds, asset management, and real estate services.
We recognize that our strength and success are directly linked to the quality and skills of our diverse associates. We are proud to be a place where talented people who want to make a difference can grow as professionals, leaders, and as individuals. Visit www.prudential.com to learn more about our values, our history and our brand.
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.
The Prudential Insurance Company of America, Newark, NJ and its affiliates.
Note that this posting is intended for individual applicants. Search firms or agencies should email Staffing at staffingagencies@prudential.com for more information about doing business with Prudential.
PEOPLE WITH DISABILITIES:
If you need an accommodation to complete the application process, which may include an assessment, please email accommodations.hw@prudential.com.
Please note that the above email is solely for individuals with disabilities requesting an accommodation. 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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