Logo for WNS

Disability Claims Examiner (13p)

Key Facts

Remote From: 
Canada, Alabama (USA), Alaska (USA), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), District of Columbia (USA), Florida (USA), Georgia (USA), Hawaii (USA), Idaho (USA), Illinois (USA)...
Full time
Mid-level (2-5 years)
53 - 88K yearly
English

Other Skills

  • Decision Making
  • Microsoft Excel
  • Microsoft PowerPoint
  • Critical Thinking
  • Analytical Thinking
  • Detail Oriented
  • Goal-Oriented
  • Microsoft Word
  • Non-Verbal Communication
  • Adaptability
  • Time Management
  • Customer Service
  • Reliability

Roles & Responsibilities

  • 2-3 years of experience in paid family leave and absence claim management
  • Strong analytical reasoning and critical thinking with excellent written and verbal communication skills
  • Proficiency with Windows, Word, Excel, PowerPoint; ability to work remotely full-time in EST hours (7:00 AM–8:30 AM start); college degree preferred but not required

Requirements:

  • Manage a block of Absence and Paid Family Leave claims, ensuring timely and accurate decisions
  • Provide high-quality customer service and focus on delivering a positive customer experience
  • Maintain customer relationships through dependable and trustworthy service
  • Work independently in a fast-paced, metrics-driven environment to meet performance goals

Job description

Job Classification:

Operations - Insurance Operations

The Paid Family Leave Claim Examiner will be responsible for handling a claim block of Absence and 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 Absence, and Paid Family Leave 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.
  • Strong analytical reasoning
  • Strong communication skills both written and verbal
  • Ability to work to work independently in a fast-paced, metrics driven environment

JOB REQUIREMENTS:

  • 2-3 years of experience in paid family leave and Absence claim management. 
  • Claim/risk management skills and technical knowledge in contract interpretation and administration
  • 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)
  • College degree preferred, but not required.
  • Ability to work remotely full time. 
  • Required hours are Eastern Standard Time Zone.  7am to 830am Start time EST.

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 $53,300.00 to $88,000.00. 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. 

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. To find out more about our Total Rewards 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.  

Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom. 

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. 

If you need an accommodation to complete the application process, please email accommodations.hw@prudential.com. 

 

If you are experiencing a technical issue with your application or an assessment, please email careers.technicalsupport@prudential.com to request assistance.

Insurance Claims Examiner Related jobs

Other jobs at WNS

We help you get seen. Not ignored.

We help you get seen faster — by the right people.

🚀

Auto-Apply

We apply for you — automatically and instantly.

Save time, skip forms, and stay on top of every opportunity. Because you can't get seen if you're not in the race.

AI Match Feedback

Know your real match before you apply.

Get a detailed AI assessment of your profile against each job posting. Because getting seen starts with passing the filters.

Upgrade to Premium. Apply smarter and get noticed.

Upgrade to Premium

Join thousands of professionals who got noticed and hired faster.