Senior STD Appeals Analyst — Drive Disability Outcomes

Prudential Annuities Distributors (PAD); Newark (NJ); On-site; USD 67,000 - 110,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

PTO

401(k) with match

Pension plan

Wellness program

Education benefits

Job summary

Prudential Financial, Inc. in the United States seeks a Sr. Appeals Analyst to evaluate and manage STD disability appeals, applying policy provisions and leveraging clinical, vocational, and legal resources for optimal outcomes.

You will deliver outstanding customer service, collaborate across departments, and handle complex interactions in a fast-paced setting while supporting continuous improvement efforts. A college degree and 3–5 years of experience are preferred.

Qualifications

• 3–5 years of experience in stand-alone Short and/or Long-Term Disability claims.
• Disability Appeals experience preferred.
• College degree preferred.
• Knowledge of ERISA appeal requirements and state-specific disability rules.
• Excellent written and verbal communication skills.
• Strong analytical and critical thinking abilities.
• Ability to collaborate interdepartmentally.
• Ability to work independently and manage difficult interactions to resolution.
• Proficiency with claim systems, Microsoft Office, and documentation tools.

Responsibilities

• Manage and assign caseload of disability appeals.
• Utilize internal and external clinical, vocational, and legal resources.
• Deliver industry-leading customer service internally and externally.
• Apply contractual provisions accurately.
• In a fast-paced environment, maintain organized workflow and time management.
• Develop differentiated appeals plans for optimal outcomes.
• Provide direct feedback on claim handling to relevant parties.
• Identify opportunities for improved claim management across the organization.

Skills

Customer service

Communication

Analytical thinking

Collaboration

Time management

Education

College degree

Tools

Claim systems

Microsoft Office

Job description

Prudential Financial, Inc. in the United States seeks a Sr. Appeals Analyst to evaluate and manage STD disability appeals, applying policy provisions and leveraging clinical, vocational, and legal resources for optimal outcomes.

You will deliver outstanding customer service, collaborate across departments, and handle complex interactions in a fast-paced setting while supporting continuous improvement efforts. A college degree and 3–5 years of experience are preferred.