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Senior Appeals Analyst

3 months ago

Newark, United States Prudential Ins Co of America Full time

Job Classification:

Operations - Insurance Operations

Prudentials Group Insurance, Disability Claim Operation is seeking an experienced and highly motivated individual to join our team as a Sr. 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.

Roles & 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.

Qualifications

2-5 years experience in Long Term Disability claims required

Experience with Short Term Disability and Life WOP claims is preferred

Prior appeals experience preferred

College degree preferred

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 work flow

At Prudential, you can:

Take charge of your career. We equip and empower our employees to expand their skills and experience by using powerful learning, gigs, and job opportunities. We offer a suite of services including 1:1 Career advice, on demand resources and networking to propel your career forward.

Were a global organization, full of outstandingly dedicated people who arent afraid to think differently, challenge the status quo and take sensible risks along the way. You will enjoy pushing boundaries as we build innovative technology that helps clients, customers and employees live their best lives. You will have access to leadership and learning opportunities and the resources needed to take your career in any direction. We will help you do your best work, offering flexibility, while delivering on our Purpose.

What we offer you:

Market driven 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.

Retirement plans: 401(k) plan with company match (up to 4%)

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.

Tuition Assistance to help finance traditional college enrollment toward obtaining an approved degree, many accredited certificate programs, and industry designations.

To find out more about our Total Reward 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.

RSRPRUD

Note: 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 $67,500.00 to $100,400.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills. Roles may also be eligible for additional compensation and/or benefits. 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. In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement.

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

Prudential is a multinational financial services leader with operations in the United States, Asia, Europe, and Latin America. Leveraging its heritage of life insurance and asset management expertise, Prudential is focused on helping individual and institutional customers grow and protect their wealth. The company's well-known Rock symbol is an icon of strength, stability, expertise and innovation that has stood the test of time. Prudential's businesses offer a variety of products and services, including life insurance, annuities, retirement-related services, mutual funds, asset management, and real estate services.

We recognize that our strength and success are directly linked to the quality and skills of our diverse associates. We are proud to be a place where talented people who want to make a difference can grow as professionals, leaders, and as individuals. Visit www.prudential.com to learn more about our values, our history and our brand.

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,...

Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity