1+ months

Senior Appeals Analyst - DIS000BX

Roseland, NJ 07068
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  • Job Code
Primary Location United States-New Jersey-Roseland

Our Business

For over 100 years, Prudentials diverse and talented employees have been committed to helping customers and their families grow and protect their wealth through a variety of products and services.   We are known for delivering on our promises and are recognized as a trusted brand and one of the worlds most admired companies.


The Appeals Review Unit (ARU), is part of our Group Insurance business. We are responsible for disability appeals related to Short Term Disability, Long Term Disability and Waiver of Premium.


The Team

The ARU is made up of two teams, and this role will support one of the Long-Term Disability teams. We are a customer-focused team, and work in an ever-evolving environment where successfully managing through change is expected.  Members of this team are located throughout the US.


The Role

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 Long-Term Disability Appeals.  In addition to managing a caseload of complex LTD Appeals, this position may offer the opportunity to identify trends in order to optimize the performance of the organization including providing feedback, initiating continuous improvement, and identifying training opportunities.


Roles & Responsibilities


  • Manage assigned caseload of complex Long-Term 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 which lead to optimal outcomes
  • Provide direct feedback to appropriate parties as required on claim handling
  • Identify opportunities for improved claim management across the organization


 Virtual candidates will also be considered for this role.



Your Expertise

What youll need to succeed:

  • 2 to 5 years of experience in LTD disability claims

  • Prior Appeals experience preferred

  • Demonstrated superior customer service skills

  • Excellent verbal and written communication skills

  • Strong analytical and critical thinking skills

  • Ability to collaborate and partner across departments

  • Capable of working independently to manage difficult interactions

  • Proficient in Microsoft Office


Itd be a plus if you have:

  • Prior LTD appeals experience

  • College Degree




@!*!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 companys 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. For more information please visit www.prudential.com.

Prudential is not accepting unsolicited resumes from search firms for this open position unless contracted with Staffing. Agencies must work with Staffing as the primary point of contact and follow the Prudential application process to be considered for business. All resumes submitted by search firms to any employee at Prudential via-email Internet or directly to hiring managers in any form without a valid written search agreement in place for that position will be deemed the sole property of Prudential and no fee will be paid in the event the candidate is hired by Prudential.
Note: Any search agreement entered into with Prudential before January 2004 is null and void. Search firms are essential to the recruitment and staffing efforts at Prudential and we value the partnerships we have built with our preferred vendors. Prudential has established and regularly maintains a preferred vendor list and even preferred vendors need to have a written search agreement signed by the Director Recruiting Programs Staffing at Prudential in place for the specific position in order for a fee to be paid for any candidate referrals.
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Posted: 2020-02-19 Expires: 2020-04-18

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Senior Appeals Analyst - DIS000BX

Roseland, NJ 07068

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