[Hiring] PLADS Claims Support Specialist (Appeals) @Aflac, Incorporated

Role Description

This role involves supporting administrative tasks related to disability claims and leave of absence cases.

• Strong attention to detail and accuracy when handling confidential and time-sensitive information.
• Ability to follow standardized procedures, written instructions, and established workflows.
• Proficiency with basic office technology, including email, document management systems, and fax/scanning equipment.
• Working knowledge of Microsoft Office applications (Word, Outlook; Excel preferred).
• Effective written and verbal communication skills for interacting with internal teams and providers.
• Ability to manage multiple tasks, prioritize workload, and meet deadlines.
• Dependable, organized, and able to work both independently and as part of a team.
• Some administrative experience preferred.
• Computer skills including but not limited to: Outlook, Excel, and Word are required.

Qualifications

• High School Diploma or Equivalent
• One or more years of job-related work experience or an equivalent combination of education and experience

Requirements

• Prior administrative, clerical, or customer support experience in the insurance industry (preferred).

Principal Duties & Responsibilities

• Copies, assembles, and distributes claim files and related documentation upon request, ensuring compliance with privacy and confidentiality requirements.
• Creates, sets up, and inputs new disability claims and/or leave of absence cases as requested, accurately entering data into designated systems and verifying required information.
• Prepares, processes, and distributes outgoing correspondence, including mailings, emails and faxes, and performs manual updates to correspondence as needed.
• Maintains, organizes and updates departmental files, records, templates, and logs to ensure information is current and accessible.
• Conducts outreach to providers and members via telephone, email, and fax to obtain outstanding information and support timely claim and leave processing.
• Completes daily administrative tasks for the team, including faxing, scanning, document preparation, email responses, and tracking follow-up items.
• Assists with assigned special projects and routine operational support activities under direction.
• Follows established workflows, service level expectations, and quality standards while meeting productivity and accuracy requirements.
• Assists with other administrative duties as needed to support department operations and business needs.
• Performs other related duties as required.

Benefits

• 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