Claims Examiner Jobs

Job Title: FMLA Claim Examiner Company: Prudential Location: Scottsdale, AZ Description: Manages assigned caseload of more complex FMLA and integrated FMLA and Disability cases. Evaluates claimant eligibility. Interacts with internal and external customers including, but not limited to, claimants, employers, physicians, attorneys etc. to gather the information to make the decision on the claim. Analyze, approves or denies Disability Income and Waiver of Premium claims for contestable and non-contestable cases. Provides technical direction to other claims personnel as needed.  Validates payment period, follows up and monitors payment accuracy and timeliness; follows plan to closure.      Prudential and its affiliates, Newark, New Jersey are Equal Opportunity/Affirmative Action Employers and are committed to diversity in our workforce. At least 1-2 years of experience directly administering FMLA Leaves.Ability to manage multiple and changing priorities.Excellent organizational and time management skillsStrong written and communication skills demonstrated in previous work experienceSpecific experience with collaborative negotiationsProven skills in positive and effective interaction with challenging customersExperience in effectively meeting/exceeding individual professional expectations and team goalsDemonstrated analytical and math skillsAbility to exercise sound judgmentHigh level of flexibility to adapt to the needs of the organizationsPC skills preferred (i.e. Windows based environment)College degree and prior claims experience preferred.

Job Title: Disability Claims Examiner Company: Prudential Financial Location: Portland, ME Description: Prudential Financial, Inc. 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. For more information, please visit www.prudential.com. Manages assigned caseload of more complex disability cases. Evaluates claimant eligibility. Utilizes specialty consulting resources effectively including medical, legal, vocational and/or rehabilitative staffs to achieve optimum outcomes for claims direction. Interacts with internal and external customers including, but not limited to, claimants, employers, physicians, attorneys and underwriters to gather the information to make the decision on the claim. Analyzes, approves or denies Disability Income and Waiver of Premium claims for contestable and non-contestable cases. Provides technical direction to other claims personnel as needed. Decides payment period, follows up and monitors payment accuracy and timeliness; follows plan to closure. Incumbents typically have 3-5 years of relevant experience. Typically reports to Supervisor of Disability Claims.Ability to manage multiple and changing priorities Excellent organizational and time management skills Strong written and communication skills demonstrated in previous work experience Specific experience with collaborative negotiations Proven skills in positive and effective interaction with challenging customers Experience in effectively meeting/exceeding individual professional expectations and team goals. Demonstrated analytical and math skills Ability to exercise sound judgment High level of flexibility to adapt to the needs of the organization PC skills preferred (i.e. Windows based environment) College degree and pior claim experience preferred On September 30, 2009, Prudential will upgrade the technology we use to receive job applications. Any job applications, resumes, and/or cover letters that are submitted to Prudential prior to September 30th, will not be converted to the new system. If you apply now and are still under consideration for the job opportunity, you will be asked to spend a few minutes reapplying in the new system. After October 1st, we invite you to take a moment to create a profile and request future Job Posting Notifications in the new system. Activating the Job Posting Notifications tool will allow you to be notified confidentially via an email, of any positions that match your specified career preferences. Going forward, you can check the status of your application by logging in at any time. Thank you. The Prudential Insurance Company of America and its affiliates, Newark, New Jersey are Equal Opportunity/Affirmative Action Employers and are committed to diversity in our workforce. Prudential is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity unless contracted with Staffing. Agencies must work with Staffing as the primary point of contact and follow the Prudential application process to be considered for business. Regardless of past practice, all resumes submitted by search firms to any employee at Prudential via-email, the Internet or directly to hiring managers at Prudential in any form without a valid written search agreement in place for that position will be deemed the sole property of Prudential, and no fee will be paid in the event the candidate is hired by Prudential as a result of the referral or through other means. Note: Any search agreement entered into with Prudential before January 2004 is null and void. Search firms are essential to the recruitment and staffing efforts at Prudential and we value the partnerships we have built with our preferred vendors. For this reason, Prudential has established and regularly maintains a preferred vendor list. Please note that even preferred vendors need to have a written search agreement signed by the Director, Recruiting Programs, Staffing at Prudential in place for the specific position in order for a fee to be paid for any candidate referrals.

Job Title: Sr Disability Claims Examiner Company: Prudential Location: Portland, ME Description: The goal of the Senior Disability Claim Examiner is to efficiently and effectively direct disability claims toward the appropriate outcome while providing superior customer service and early intervention in the disability cycle to prevent short term impairments from becoming long term disabilities. The Senior Disability Claim Examiner is a multi-dimensional position whose responsibilities include, but are not limited to:Heavy written and verbal communication with a diverse population of customers, including claimants with physical and/or psychological impairments, physicians, attorneys, benefit representatives, other healthcare providers, and internal/external clients.Facilitate the technical aspects of the claim and appropriately apply the legal and contractual provisions.Calculate appropriate dates and payments amounts accurately.Develop and maintain effective working relationships with group clients.Lead/participate in projects/activities such as Marketing presentations, Client meetings, Claimant Visits, in-service training sessions and other projects related to claim management and staff development.Understand and correctly utilize the appropriate systems.Ability to manage multiple and changing priorities.Excellent organizational and time management skills.Strong written and communication skills demonstrated in previous work experience.Specific experience with collaborative negotiations.Proven skills in positive and effective interaction with challenging customers.Experience in effectively meeting/exceeding individual professional expectations and team goals.Demonstrated analytical and math skills.Ability to exercise sound judgment.High level of flexibility to adapt to the needs of the organizations.PC skills preferred (i.e., Windows based environment)College degree preferred.

Job Title: FMLA Claim Examiner Company: Prudential Location: Scottsdale, AZ Description: Manages assigned caseload of more complex FMLA and integrated FMLA and Disabilty cases. Evaluates claimant eligibility. Interacts with internal and external customers including, but not limited to, claimants, employers, physicians, attorneys etc. to gather the information to make the decision on the claim. Analyza, approves or denies Disability Income and Waiver of Premium claims for contestable and non-contestable cases. Provides technical direction to other claims personnel as needed.  Validates payment period, follows up and monitors payment accuracy and timeliness; follows plan to closure.  At least 1-2 years of experience directly administering FMLA Leaves.Ability to manage multiple and changing priorities.Excellent organizational and time management skillsStrong written and communication skills demonstrated in previous work experienceSpecific experience with collaborative negotiationsProven skills in positive and effective interaction with challenging customersExperience in effectively meeting/exceeding individual professional expectations and team goalsDemonstrated analytical and math skillsAbility to exercise sound judgementHigh level of flexibility to adapt to the needs of the organizationsPC skills preferred (i.e. Windows based environment)College degree and prior claims experience preferred.

Job Title: Disability Claims Examiner Company: Prudential Location: Portland, ME Description: Manages assigned caseload of more complex disability cases. Evaluates claimant eligibility. Utilizes specialty consulting resources effectively including medical, legal, vocational and/or rehabilitative staffs to achieve optimum outcomes for claims direction. Interacts with internal and external customers including, but not limited to, claimants, employers, physicians, attorneys and underwriters to gather the information to make the decision on the claim. Analyzes, approves or denies Disability Income and Waiver of Premium claims for contestable and non-contestable cases. Provides technical direction to other claims personnel as needed. Decides payment period, follows up and monitors payment accuracy and timeliness; follows plan to closure. Incumbents typically have 3-5 years of relevant experience. Typically reports to Supervisor of Disability Claims. Ability to manage multiple and changing priorities  Excellent organizational and time management skills                   Strong written and communication skills demonstrated in previous work experience                                                                        Specific experience with collaborative negotiations                       Proven skills in positive and effective interaction with challenging customers                                                                                Experience in effectively meeting/exceeding individual professional expectations and team goals.                                  Demonstrated analytical and math skills                                          Ability to exercise sound judgment                                              High level of flexibility to adapt to the needs of the organizations    PC skills preferred (i.e. Windows based environment)                   College degree and prior claim experience preferred

Job Title: Sr Disability Claims Examiner Company: Prudential Location: Portland, ME Description: The goal of the Senior Disability Claim Examiner is to efficiently and effectively direct disability claims toward the appropriate outcome while providing superior customer service and early intervention in the disability cycle to prevent short term impairments from becoming long term disabilities.  The Senior Disability Claim Examiner is a multi-dimensional position whose responsibilities include, but are not limited to:Heavy written and verbal communication with a diverse population of customers, including claimants with physical and mental impairments, physicians, attorneys, benefit representatives, other healthcare providers, and internal/external clients.Facilitate the technical aspects of the claim and appropriately apply the legal and contractual provisions.Calculate appropriate dates and payments amounts accurately.Develop and maintain effective working relationships with group clients.Lead/participate in projects/activities such as Marketing presentations, Client meetings, Customer Action Teams, Claimant Visits, in-service training sessions and other projects related to claim management and staff development.Understand and correctly utilize the appropriate systems.Ability to manage multiple and changing priorities.Excellent organizational and time management skills.Strong written and communication skills demonstrated in previous work experience.Specific experience with collaborative negotiations.Proven skills in positive and effective interaction with challenging customers.Experience in effectively meeting/exceeding individual professional expectations and team goals.Demonstrated analytical and math skills.Ability to exercise sound judgment.High level of flexibility to adapt to the needs of the organizations.PC skills preferred (i.e., Windows based environment)College degree preferred.

Job Title: FMLA Claim Examiner Company: Prudential Location: Portland, ME Description: Manages assigned caseload of more complex FMLA and integrated FMLA and Disability cases. Evaluates claimant eligibility. Interacts with internal and external customers including, but not limited to, claimants, employers, physicians, attorneys etc., to gather the information to make the decision on the claim. Analyze, approves or denies Disability Income claims for contestable and non-contestable cases. Provides technical direction to other claims personnel as needed. Validates payment period, follows up and monitors payment accuracy and timeliness; follows plan to closure.   Prudential and its affiliates, Newark, New Jersey are Equal Opportunity/Affirmative Action Employers and are committed to diversity in our workforce. At least 1-2 years of experience directly administering STD claims and/or FMLA Leaves. Ability to manage multiple and changing priorities. Excellent organizational and time management skills. Strong written and communication skills demonstrated in previous work experience. Specific experience with collaborative negotiations. Proven skills in positive and effective interaction with challenging customers. Experience in effectively meeting/exceeding individual professional expectations and team goals. Demonstrated analytical and math skills. Ability to exercise sound judgment. High level of flexibility to adapt to the needs of the organizations. PC skills preferred (i.e. Windows based environment). College degree and prior claim experience preferred.

Job Title: Associate FMLA Claims Examiner Company: Prudential Location: Scottsdale, AZ Description: Manages assigned caseload of FMLA claims and some integrated claims including FMLA and disability. Inputs claimant medical and demographic data; evaluates claimant eligibility and develops plan to address obstacles. Interacts with internal and external customers including, but not limited to, claimants, employers, physicians, attorneys etc. to gather the information needed to manage the claim. Validates payment period, follows up and monitors payment accuracy and timeliness. Provides technical direction to other claims personnel as needed.Ability to manage multiple and changing priorities.Excellent organizational and time management skillsStrong written and communication skills demonstrated in previous work experienceSpecific experience with collaboratve negotiationsProven skills in positive and effective interaction with challenging customersExperience in effectively meeting/exceeding individual professional expectations and team goalsDemonstrated analytical and math skillsAbility to exercise sound judgementHigh level of flexibility to adapt to the needs of the organizationsPC skills preferred (i.e. Windows based environment)College degree and prior claim experience preferred.

Job Title: Senior Disability Claims Examiner Company: Prudential Financial Location: Portland, ME Description: Prudential Financial, Inc. 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. For more information, please visit www.prudential.com. The goal of the Senior Disability Claim Examiner is to efficiently and effectively direct disability claims toward the appropriate outcome while providing superior customer service and early intervention in the disability cycle to prevent short term impairments from becoming long term disabilities. The Senior Disability Claim Examiner is a multi-dimensional position whose responsibilities include, but are not limited to: Heavy written and verbal communication with a diverse population of customers, including claimants with physical and/or psychological impairments, physicians, attorneys, benefit representatives, other healthcare providers, and internal/external clients. Facilitate the technical aspects of the claim and appropriately apply the legal and contractual provisions. Calculate appropriate dates and payments amounts accurately. Develop and maintain effective working relationships with group clients. Lead/participate in projects/activities such as Marketing presentations, Client meetings, Claimant Visits, in-service training sessions and other projects related to claim management and staff development. Understand and correctly utilize the appropriate systems.Ability to manage multiple and changing priorities. Excellent organizational and time management skills. Strong written and communication skills demonstrated in previous work experience. Specific experience with collaborative negotiations. Proven skills in positive and effective interaction with challenging customers. Experience in effectively meeting/exceeding individual professional expectations and team goals. Demonstrated analytical and math skills. Ability to exercise sound judgment. High level of flexibility to adapt to the needs of the organizations. PC skills preferred (i.e., Windows based environment) College degree preferred. The Prudential Insurance Company of America and its affiliates, Newark, New Jersey are Equal Opportunity/Affirmative Action Employers and are committed to diversity in our workforce. Prudential is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity unless contracted with Staffing. Agencies must work with Staffing as the primary point of contact and follow the Prudential application process to be considered for business. Regardless of past practice, all resumes submitted by search firms to any employee at Prudential via-email, the Internet or directly to hiring managers at Prudential in any form without a valid written search agreement in place for that position will be deemed the sole property of Prudential, and no fee will be paid in the event the candidate is hired by Prudential as a result of the referral or through other means. Note: Any search agreement entered into with Prudential before January 2004 is null and void. Search firms are essential to the recruitment and staffing efforts at Prudential and we value the partnerships we have built with our preferred vendors. For this reason, Prudential has established and regularly maintains a preferred vendor list. Please note that even preferred vendors need to have a written search agreement signed by the Director, Recruiting Programs, Staffing at Prudential in place for the specific position in order for a fee to be paid for any candidate referrals.

Job Title: Disability Claims Examiner Company: Prudential Location: Portland, ME Description: Manages assigned caseload of more complex disability cases. Evaluates claimant eligibility. Utilizes specialty consulting resources effectively including medical, legal, vocational and/or rehabilitative staffs to achieve optimum outcomes for claims direction. Interacts with internal and external customers including, but not limited to, claimants, employers, physicians, attorneys and underwriters to gather the information to make the decision on the claim. Analyzes, approves or denies Disability Income and Waiver of Premium claims for contestable and non-contestable cases. Provides technical direction to other claims personnel as needed. Decides payment period, follows up and monitors payment accuracy and timeliness; follows plan to closure. Incumbents typically have 3-5 years of relevant experience. Typically reports to Supervisor of Disability Claims. Ability to manage multiple and changing priorities  Excellent organizational and time management skills                   Strong written and communication skills demonstrated in previous work experience                                                                        Specific experience with collaborative negotiations                       Proven skills in positive and effective interaction with challenging customers                                                                                Experience in effectively meeting/exceeding individual professional expectations and team goals.                                  Demonstrated analytical and math skills                                          Ability to exercise sound judgment                                              High level of flexibility to adapt to the needs of the organizations    PC skills preferred (i.e. Windows based environment)                   College degree and prior claim experience preferred