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Prudential Financial · 4 days ago

Senior Appeals Analyst

Newark, NJ

Full-time

Hybrid

Mid, Senior Level

$69K/yr - $103K/yr

3+ years exp

Prudential Financial is a leading financial services institution seeking a Senior Appeals Analyst to evaluate disability claim appeals. The role involves managing a caseload of complex appeals and identifying trends to optimize organizational performance.

Asset ManagementFinanceFinancial ExchangesFinancial ServicesHealth CareInsuranceRetirement

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

Qualification

Long Term Disability claimsAnalytical skillsCustomer serviceMicrosoft OfficeCollaborationTime managementCritical thinkingVerbal communicationWritten communicationIndependent work

Required

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

Preferred

Experience with Short Term Disability and Life WOP claims is preferred

Prior appeals experience preferred

College degree preferred

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.

Company

Prudential Financial

Prudential Financial specializes in the fields of investment management, life insurance, and retirement benefits. It is a sub-organization of Prudential Financial.

Founded in 1875

Newark, New Jersey, USA

10001+ employees