[Hiring] Disability Claims Examiner @Prudential Financial

Role Description

The 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.

• 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

Qualifications

• 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)

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
• Must have the capability to handle calls with a cell phone (would need to have unlimited data and minutes) or a landline
• Quiet area in your home with minimal distractions and noise free
• Reliability and Dependability throughout our extensive training program is required

Benefits

• 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
• 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 purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service
• Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program