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PFML Claims Analyst

Principal

PFML Claims Analyst

Principal

Taguig City, Philippines

·

On-site

·

Full-time

·

1w ago

Responsibilities As a PFML Claims Analyst, your day will be anything but routine.

In this fast-paced environment, every single day offers new challenges and the ability to use your excellent analytical, multitasking, prioritization, and interpersonal skills to assist with our clients’ short-term disability claims – all during a time in which they may be facing major changes in life.

Here are a few examples of the kinds of things you’ll do: Acquire, analyze, and investigate medical, financial and contractual information to make effective and timely claim decisions.

Connect with employers, employees and medical providers via phone, email, text, and letters.

Connect with employers, employees and medical providers via phone, email, text, and letters.

Provide support to phone agents whenever they ask assistance through Helpline channel Provide customers with updates regarding medical conditions, restrictions & limitations, job duties, PFML policy provisions, claim decisions, status, and all other aspects of the claim process to ensure they fully understand the company's position.

Supervise and follow up on outstanding items to ensure compliance with regulations, service timing, and quality guidelines.

What else do you need to know?

This position offers you an exciting, yet rewarding career where you can make an impact in the lives of many of our clients.

Although you may need to make some impactful decisions, we equip you with the training, tools and resources to allow you to be successful!

Qualifications Qualifications Requirements Information Provide prompt, courteous, and excellent service at an acceptable cost to all customers; operate in an ethical manner in accordance with all applicable laws and regulations, the company's Corporate Code of Ethics, employee handbook, applicable compliance and operations policies and procedures, and other policies of the company.

Possess a high degree of integrity and actively cooperate and interact with all entities of the Principal Financial Group.

Qualifications PHRN with active license.

Bachelor's degree, with 2+ years Claims background Non-PHRN (Bachelor/ Associate's degree) with solid 2+ years of customer facing work experience (Healthcare) Claim Processing

Experience: – reviewing and gathering information, making phone calls, and making the actual claim decision - at least 2 years or more of successful performance of processing claims preferred.

Legal and policy experience - being able to read, interpret policies, policy provisions and industry regulations to accurately interrupt and apply them to claims situations is preferred.

Basic math skills.

Ability to actively listen while you collect information on the telephone and provide strong customer service, providing empathy to the customers going through tough situations.

Ability to accept & apply feedback.

Ability to maintain a high degree of accuracy, pay strict attention to detail, maintain confidentiality, and work within the grey.

Excellent analytical, interpersonal, problem solving, decision-making, and multi-tasking skills.

Computer skills and typing proficiency – Microsoft Outlook, Word, Excel experience is preferred.

Work independently as well as in a team environment.

As a PFML Claims Analyst, your day will be anything but routine.

In this fast-paced environment, every single day offers new challenges and the ability to use your excellent analytical, multitasking, prioritization, and interpersonal skills to assist with our clients’ short-term disability claims – all during a time in which they may be facing major changes in life.

Here are a few examples of the kinds of things you’ll do: Acquire, analyze, and investigate medical, financial and contractual information to make effective and timely claim decisions.

Connect with employers, employees and medical providers via phone, email, text, and letters.

Connect with employers, employees and medical providers via phone, email, text, and letters.

Provide support to phone agents whenever they ask assistance through Helpline channel Provide customers with updates regarding medical conditions, restrictions & limitations, job duties, PFML policy provisions, claim decisions, status, and all other aspects of the claim process to ensure they fully understand the company's position.

Supervise and follow up on outstanding items to ensure compliance with regulations, service timing, and quality guidelines.

What else do you need to know?

This position offers you an exciting, yet rewarding career where you can make an impact in the lives of many of our clients.

Although you may need to make some impactful decisions, we equip you with the training, tools and resources to allow you to be successful!

Qualifications Requirements Information Provide prompt, courteous, and excellent service at an acceptable cost to all customers; operate in an ethical manner in accordance with all applicable laws and regulations, the company's Corporate Code of Ethics, employee handbook, applicable compliance and operations policies and procedures, and other policies of the company.

Possess a high degree of integrity and actively cooperate and interact with all entities of the Principal Financial Group.

Qualifications PHRN with active license.

Bachelor's degree, with 2+ years Claims background Non-PHRN (Bachelor/ Associate's degree) with solid 2+ years of customer facing work experience (Healthcare) Claim Processing

Experience: – reviewing and gathering information, making phone calls, and making the actual claim decision - at least 2 years or more of successful performance of processing claims preferred.

Legal and policy experience - being able to read, interpret policies, policy provisions and industry regulations to accurately interrupt and apply them to claims situations is preferred.

Basic math skills.

Ability to actively listen while you collect information on the telephone and provide strong customer service, providing empathy to the customers going through tough situations.

Ability to accept & apply feedback.

Ability to maintain a high degree of accuracy, pay strict attention to detail, maintain confidentiality, and work within the grey.

Excellent analytical, interpersonal, problem solving, decision-making, and multi-tasking skills.

Computer skills and typing proficiency – Microsoft Outlook, Word, Excel experience is preferred.

Work independently as well as in a team environment.

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About Principal

Principal

Principal

Public

Principal is a global investment management and insurance company providing retirement services, asset management, and insurance solutions. The company serves millions of customers worldwide through employer-sponsored retirement plans and individual investment products.

10,001+

Employees

Harrogate

Headquarters

Reviews

3.1

6 reviews

Work Life Balance

2.0

Compensation

4.0

Culture

1.8

Career

2.0

Management

1.5

25%

Recommend to a Friend

Pros

Good pay and benefits

Supportive assistant management

Quality software/codebase

Cons

Poor management and leadership

Micromanagement

Limited career advancement

Salary Ranges

2 data points

L6/Principal

Principal/L7

L6/Principal · Staff/Principal Backend SWE

1 reports

$710,000

total / year

Base

$270,000

Stock

$440,000

Bonus

-

$710,000

$710,000

Interview Experience

9 interviews

Difficulty

3.4

/ 5

Duration

14-28 weeks

Offer Rate

22%

Experience

Positive 11%

Neutral 33%

Negative 56%

Interview Process

1

Application Review

2

Recruiter Screen

3

Phone Screen

4

Technical Interview

5

System Design Interview

6

Behavioral Interview

7

Final Round

Common Questions

Technical Knowledge

System Design

Behavioral/STAR

Past Experience

Culture Fit