Job Classification:
Operations - Insurance Operations
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. 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:
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 asnecessary.
Must have the capability to handle calls with a cell phone (would need to have unlimited data and minutes) or alandline. Yourpersonal phone number will not be identified to customers.
Quiet area inyour 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.
Were a global organization, full of outstandingly dedicated people who arent 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, 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...

Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity