[Hiring] Sr STD Case Manager @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?

• Strong familiarity with disability claim management concepts
• Strong understanding of medical terminology/pathology/anatomy
• Articulate verbal and writing skills, decision making, meeting deadlines, working with confidential information
• Strong skills with Microsoft Office and other software applications
• Customer service skills
• Stress tolerance
• Math skills
• Ability to multi-task and prioritize
• High level of attention to detail
• Can work under pressure
• Confidence to make claim decisions
• Results-driven
• High attention to departmental/company procedures/practices

Qualifications

• High School Diploma or equivalent
• 3 - 5 years of STD Industry claims management experience
• Demonstrated proficiency in product specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services
• Or an equivalent combination of education and experience

Requirements

• Bachelor's Degree in healthcare or a related field (preferred)

Principal Duties & Responsibilities

• Makes timely, accurate, and customer-focused STD and AM new and ongoing claim decisions using advanced independent discretion guided by company procedures and regulatory standards; handles the most complex claims from a clinical and financial perspective; reaches out to obtain relevant clinical, vocational, employer, financial, and other information; compares the information to the terms, limitations, and conditions of the contract/administrative services agreement and applicable procedural documents and renders the claim decision as quickly as possible.
• Documents the claims system in an accurate and comprehensive manner; prepares, updates, and utilizes a claims management plan to attain the most appropriate outcome; remains in full compliance with regulatory requirements; demonstrates an above average level of proficiency in product and claims administration techniques; remains fully compliant with operational standards; meets or exceeds claims team operational metrics.
• Maintains a superior level of genuine caring and empathetic customer service throughout all interactions; takes appropriate actions to earn the claimant's and employer's trust and confidence; anticipates customer’s needs and takes action as appropriate.
• Works with internal partners to support flexibility, collaboration, creating a positive work environment, consistently maintaining professionalism and integrity, actively taking steps to foster high morale, and demonstrating a dedication to excellence.
• Mentors and coaches new team members and participates in projects supporting the team's business initiatives.
• Performs other related duties as required.

Benefits

• The salary range for this job is $60,000 to $75,000.
• In addition to the base salary, we offer an array of benefits to meet your needs including:
• 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 costs to employee)
• 401(k) plans
• Annual bonuses
• Opportunity to purchase company stock
• 11 paid holidays
• Up to 20 days PTO to be used for any reason
• State-mandated sick leave (if eligible)
• Compliance with all applicable leave laws