[Hiring] LTD Case Manager I @Aflac, Incorporated

Role Description

We’ve Got You Under Our Wing. We are the duck. We develop and empower our people, cultivate relationships, give back to our community, and celebrate every success along the way. We do it all… The Aflac Way.

Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-known brands. Our business is about being there for people in need. So, ask yourself, are you the duck? If so, there’s a home, and a flourishing career for you at Aflac.

Worker Designation – This role is a remote role. This means you will be expected to work from your home, within the continental US. If the role is remote, there may be occasions that you are requested to come to the office based on business need. Any requests to come to the office would be communicated with you in advance.

What does it take to be successful at Aflac?

• Acting with Integrity
• Communicating Effectively
• Pursuing Self-Development
• Serving Customers
• Supporting Change
• Supporting Organizational Goals
• Working with Diverse Populations

What does it take to be successful in this role?

• Ability to learn and apply policies, procedures, guidelines, and regulatory requirements.
• Analytical skills with strong attention to detail.
• Ability to evaluate information and make sound decisions with guidance as needed.
• Effective verbal and written communication skills.
• Strong organizational, prioritization, and time-management skills.
• Customer service and interpersonal skills.
• Ability to maintain confidentiality and compliance standards.
• Proficiency with Microsoft Office applications and the ability to learn business systems.

Qualifications

• High School Diploma or Equivalent
• 0 – 2 years of professional work experience, or an equivalent combination of education and experience.
• Bachelor's Degree in Business, Healthcare, Human Services, Psychology, or a related field (preferred).
• Experience reviewing information and applying policies, procedures, guidelines, or regulatory requirements to support claim, case, or eligibility decisions (preferred).

Requirements

• Manages an assigned caseload of routine and less complex long-term disability claims and renders timely claim decisions within established guidelines and authority levels.
• Evaluates clinical, vocational, employer, financial, and other claim-related information to determine benefit eligibility based on policy provisions, claim facts, and departmental procedures.
• Participates in formal training and development activities to build proficiency in disability claim management, policy interpretation, regulatory requirements, and customer service practices.
• Develops claim management skills through coaching, mentoring, and regular consultation with peers and leadership.
• Documents claim activity, analysis, and decisions accurately and comprehensively within claim systems.
• Communicates professionally and empathetically with claimants, employers, healthcare providers, and internal partners regarding claim requirements, status, and decisions.
• Maintains compliance with operational, regulatory, and quality standards while developing proficiency in claim administration practices.
• Assumes greater claim complexity and decision-making responsibility as proficiency is demonstrated.
• Performs other related duties as required.

Benefits

• Salary range: $50,000 - $60,000.
• Medical, dental, and vision coverage.
• Prescription drug coverage.
• Health care flexible spending.
• Dependent care flexible spending.
• Aflac supplemental policies (Accident, Cancer, Critical Illness, and Hospital Indemnity offered at no cost to employee).
• 401(k) plans.
• Annual bonuses.
• Opportunity to purchase company stock.
• 11 paid holidays annually.
• Up to 20 days PTO to be used for any reason.
• State-mandated sick leave (if eligible).
• Compliance with all applicable leave laws.