Prudential Financial

Senior Appeals Analyst - LTD

Prudential Financial • $66K — $110K *
Newark, NJ 07104In-Person
Finance & Insurance
Less than 5 years of experience
Today
Be an Early Applicant
Job Overview by Ladders

Qualifications

  • 3-5 years of experience in stand-alone Long Term Disability claims required.
  • Disability Appeals experience highly preferred.
  • Knowledge of ERISA appeal requirements and state disability laws is necessary.
  • Excellent written and verbal communication skills are a must.
  • Strong analytical and critical thinking skills required.

Responsibilities

  • Manage a caseload of complex disability appeals.
  • Effectively utilize clinical, vocational, and legal experts as resources.
  • Deliver industry-leading customer service internally and externally.
  • Administer and apply contractual provisions accurately.
  • Exercise sound judgment in creating appeals plans for optimal outcomes.
  • Provide direct feedback on claim handling to relevant parties.
  • Identify claims management improvement opportunities across the organization.

Benefits

  • Market competitive base salaries with annual bonus potential.
  • Comprehensive medical, dental, vision, and disability insurance.
  • 401(k) plan with company match up to 4%.
  • Company-funded pension plan for enhanced retirement savings.
  • Wellness programs with reimbursement for personal wellbeing items.
  • Work/life resources covering a range of personal support topics.
  • Education benefit to assist with degree and certificate costs.
Full Job Description
Job Classification:
Operations - Insurance Operations

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.

Roles & 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.

Qualifications
  • 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.


What we offer you:

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 $66,700.00 to $110,100.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills.
  • 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).


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. To find out more about our Total Rewards 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.

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



If you are experiencing a technical issue with your application or an assessment, please email [email protected] to request assistance.

About Prudential Financial

Prudential Financial is a financial services company that specializes in the fields of investment management, life insurance, and retirement benefits. It focuses on helping individuals and institutional customers to grow and protect their wealth. The company also offers an inclusive work environment where employees can develop to their full potential, and give back to the communities where they live and work. Prudential Financial was founded in 1875 and headquartered in Newark, New Jersey.

Prudential Financial Careers

Join the esteemed ranks of Prudential Financial, a global leader in financial services, where your career is nurtured, your innovation valued, and your professional growth guaranteed. Work You’ll Do At Prudential Financial, we are committed to helping individuals and businesses tackle their financial challenges with robust solutions. As part of our team, you will lead efforts to innovate and expand our services, ensuring that we remain at the forefront of the financial industry. Transform the financial landscape with your expertise and join a team where diversity, leadership, and personal growth are not just encouraged but actively fostered. With Prudential Financial, you position yourself at the nexus of finance and cutting-edge innovation. Collaborate with a global network of professionals, dedicated to steering clients through their financial journeys with precision and foresight. Our culture thrives on teamwork, leadership, and a shared commitment to excellence. Prudential Financial Job Opportunities We are actively hiring and have a variety of job opportunities designed to bring out the best in each employee. From entry-level positions to leadership roles, Prudential Financial offers a path for every ambitious professional eager to make an impact in the financial sector. Do Innovative Work Join our team of over 40,000 professionals worldwide, working together to reshape the future of finance. At Prudential Financial, your skills in networking, strategic thinking, and leadership will drive change and foster an environment of continuous innovation and growth. Internship Programs Kickstart your career with a Prudential Financial internship. Our programs offer invaluable industry insights and hands-on experience, making them a perfect starting point for students and recent graduates eager to make their mark. Benefits and Culture Prudential Financial is not just about professional achievements but also about personal well-being. Our employees enjoy comprehensive benefits, including health, life, and disability insurance, retirement plans, and generous paid time off. More than just benefits, our company culture is built on mutual respect, inclusivity, and the collective pursuit of excellence. Future-Proof Your Career With Prudential Financial, career advancement is a reality. We provide extensive training and development programs, including leadership and diversity training, to ensure you are always ahead of the curve. Explore Discover how Prudential Financial leads the way in financial innovation and client service. Read more about our latest projects and the impact they have on our clients and the industry. Stay Connected Join Our Team Search open positions that match your skills and interests. We are looking for passionate, curious, and solution-driven team players. Explore Prudential Financial jobs today and find where you fit in our dynamic team. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can put to use today—all from the people who work here. Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Discover the exciting and rewarding opportunities that await at Prudential Financial.
Learn more about Prudential Financial
Size
88 employees
Market Cap
$36.2 billion
Industry
Finance & Insurance
Net Income
-$374 million
Founded
1875
5 Year Trend
+3.8%
Revenue
$57 billion
NASDAQ
PBIP
* Ladders Estimates

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