Senior STD Appeals Analyst: Drive Disability Claims Outcomes

Prudential Financial; United States; Remote; USD 67,000 - 110,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) with company match

Pension plan

Wellness programs

Paid time off

Job summary

Prudential Financial, Inc. is seeking a Short-Term Disability (STD) Sr. Appeals Analyst within our Disability Claims Operations to evaluate and manage STD appeals and provide guidance on complex cases. The role supports continuous improvement, identifies trends, and ensures compliant handling of disability claims.

The successful candidate will use ERISA and state requirements, collaborate across teams, and deliver strong customer service while balancing a dynamic workload and contract provisions.

Qualifications

• 3–5 years of experience in stand-alone Short and/or Long-Term Disability claims.
• Disability Appeals experience is highly preferred.
• College Degree preferred.
• Working knowledge of ERISA appeal requirements and state disability requirements.
• Demonstrated superior customer service and communication skills.
• Strong analytical and critical thinking abilities.

Responsibilities

• Manage and assign caseload of disability appeals.
• Utilize internal and external resources including clinical, vocational, and legal experts.
• Provide industry-leading customer service both internally and externally.
• Administer and apply contractual provisions accurately.
• Maintain a well-balanced workflow in a fast-paced environment.
• Develop differentiated appeals plans for optimal outcomes.
• Provide direct feedback to appropriate parties on claim handling.
• Identify opportunities to improve claim management across the organization.

Skills

Disability claims

Customer service

Analytical thinking

Communication skills

Independence

Collaboration

Education

College degree

Tools

Claim systems

Microsoft Office

Documentation tools

Job description

Prudential Financial, Inc. is seeking a Short-Term Disability (STD) Sr. Appeals Analyst within our Disability Claims Operations to evaluate and manage STD appeals and provide guidance on complex cases. The role supports continuous improvement, identifies trends, and ensures compliant handling of disability claims.

The successful candidate will use ERISA and state requirements, collaborate across teams, and deliver strong customer service while balancing a dynamic workload and contract provisions.