Senior Appeals Analyst - LTD

Prudential Financial • Washington, NV

1d • $66,700 - $110,100

About The Position

Prudential’s Group Insurance, Disability Claim Operation is seeking an experienced and highly motivated individual to join our team as a Long-Term Disability (LTD) Sr. Appeals Analyst. This dynamic role requires the evaluation of disability claim appeals and the management of a caseload of complex appeals. The position may also provide opportunities to identify trends, optimize organizational performance, provide feedback, support continuous improvement, and identify training opportunities.

Requirements

• 3-5 years of experience in stand-alone Long Term Disability claims required.
• Disability Appeals experience highly preferred.
• Experience with Short Term Disability and Life Waiver of Premium claims preferred.
• College Degree preferred.
• Working knowledge of ERISA appeal requirements, non-ERISA appeal considerations, and state-specific disability requirements.
• Demonstrated superior customer service skills.
• Excellent written and verbal communication skills.
• Strong analytical and critical thinking skills required.
• Demonstrate collaboration skills and ability to partner interdepartmentally.
• Ability to work independently and manager difficult interactions to resolution.
• Proficiency with claim systems, Microsoft Office applications, and documentation tools used to research, evaluate, and record claim and appeal activity.
• Aptitude to learn and integrate new technology into workflow.

Responsibilities

• Manage and assigned caseload of complex disability appeals.
• Utilize specialty resources effectively, including internal and external clinical, vocational, and legal experts.
• Demonstrate industry leading customer service internally and externally.
• Administer and expertly apply contractual provisions.
• Demonstrate excellent organizational and time management skills resulting in a well-balanced workflow.
• Exercise sound judgement in developing differentiated appeals plans that lead to optimal outcomes.
• Provide direct feedback on claim handling as required to appropriate parties.
• Identify opportunities for improved claim management across the organization.

Benefits

• 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).

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree