Senior Appeals Analyst

Prudential Financial

5d • Remote

About The Position

At Prudential, we believe talent is key to achieving our vision. When you join Prudential, you’ll unlock a motivating and impactful career – all while growing your skills and advancing your profession at one of the world’s leading financial services institutions! Prudential’s Group Insurance, Disability Claim Operation is seeking an experienced and highly motivated individual to join our team as a Senior Appeals Analyst. This position is a dynamic role requiring the evaluation of disability claim appeals. In addition to managing a caseload of complex appeals, this position may offer the opportunity to identify trends to optimize the performance of the organization including providing feedback, initiating continuous improvement, and identifying training opportunities. The current employee work arrangement for this position is fully virtual. While this position does not require your on-site presence on a regular basis, depending on business preferences, there may be occasions where you are required to be on-site at a Prudential office.

Requirements

• 3-5 years' experience in Long Term Disability claims required.
• Demonstrated superior customer service skills.
• Excellent verbal and written correspondence skills.
• Successful analytical and critical thinking skills required.
• Demonstrated collaboration and ability to partner inter-departmentally.
• Ability to work independently to manage difficult interactions.
• Proficiency in Microsoft Office.
• Aptitude to learn and integrate new technology into workflow.

Nice To Haves

• Experience with Short Term Disability and Life WOP claims is preferred.
• Prior appeals experience preferred.
• College degree preferred.

Responsibilities

• Manage assigned caseload of complex disability appeals.
• Utilize specialty resources effectively to include 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.
• Demonstrate sound judgment in the development of differentiated appeals plans leading to optimal outcomes.
• Provides direct feedback to appropriate parties as required on claim handling.
• Identify opportunities for improved claim management across the organization.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level