Paid Leave Claim Examiner

Operations - Insurance Operations

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, 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. 
• Quiet area in your home with minimal distractions and noise free.
• Reliability and Dependability throughout our extensive training program is required.

What we offer you:

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 $43,600.00 to $64,800.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills.

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.