Home-Based Virtual Appeals Specialist Jobs with Prudential

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Prudential is seeking home-based virtual appeals specialists from across the U.S.  You will be reviewing appeals and authorizing payment for long-term disability claims.

Specific responsibilities (from work-at-home job listing):

  • Effectively managing a caseload with mostly complex appeals
  • Providing technical direction to other appeals personnel as needed; may serve as a mentor/coach
  • Monitoring workloads, tracking metric results, reviewing authority referrals, or completing quality audits, as needed
  • Interacting with internal and external customers including, but not limited to: claimants, employers, physicians, and attorneys
  • Representing Prudential at settlements or mediations and/or negotiating settlements on appeals, as needed
  • Independently participating in client meetings or conference calls regarding claim handling.

This position is available as a virtual opportunity anywhere in the U.S.

Qualifications (from job listing):

  • A minimum of 3-4 years of complex claim experience (appeals or complex claim team) is required, along with the following:
  • Exceptional claim/risk management skills and technical knowledge in contract interpretation and administration
  • Demonstrated success at coaching others to elevate their performance
  • Goal oriented with an ability to organize and analyze information to ensure objectives are met
  • Strong critical thinking, written/verbal communication, organization, and time management skills
  • Strong customer service skills proven through internal and external customer interactions
  • Proven ability to partner with various areas of an organization

If interested in this home-based position, please see the original employment listing. Good luck!

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