STD Case Manager (Must Reside in NE)

Aflac

Posted 15 days ago

Full Time

Columbus, Georgia

Hybrid

Smart Summary

Responsibilities

The Case Manager makes timely and accurate claim decisions for STD and AM products while maintaining a high level of empathetic customer service. They are responsible for documenting claims, managing claims plans, and collaborating with internal partners to ensure operational compliance and excellence.

Qualifications

You have a high school diploma or equivalent with 0-2 years of claims experience. You possess strong customer service skills, familiarity with disability claim management, and a good understanding of medical terminology. You are also proficient with Microsoft Office and can work independently in a remote environment.

Must Have Skills for ATS

disability claim management

medical terminology

Microsoft Office

STD

LTD

AM

Job Description

Salary Range: $45,000 - $65,000

Job Posting End Date: This job will be posted on an ongoing basis

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. Aflac has been recognized as Fortune’s 50 Best Workplaces for Diversity and as one of World’s Most Ethical Companies by Ethisphere.com.

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 designated as a remote role. You will be expected to work from your home, within the continental US. Although this role is designated as 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?

• Familiarity with disability claim management concepts

• Superior customer service skills with a strong commitment to empathy.

• Ability to work independently in a remote environment while remaining engaged with team.

• Good understanding of medical terminology/pathology/anatomy

• Articulate verbal and writing skills, decision making, meeting deadlines, working with confidential information

• Moderate skills with Microsoft Office and other software application

• Stress tolerance

• Strong financial acumen

• Ability to multi-task and prioritize in a fast-paced environment

• Have a high level of attention to detail

• Work well under pressure

• Confidence to make claim decisions

• Results-driven

• High attention to departmental/company procedures/practices

Education & Experience Required

  • High School Diploma or equivalent
  • 0-2 years of job-related claims experience

Or an equivalent combination of education and experience

Education & Experience Preferred

  • Bachelor's Degree In healthcare or a related field
  • Demonstrated proficiency in product specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services

Principal Duties & Responsibilities

• 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. 

• Makes timely, accurate, and customer-focused STD and AM new and ongoing claim decisions while reviewing the claim holistically with a strong focus in risk management; 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

• 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

• Performs other related duties as required

Total Rewards

The salary range for this job is $45,000 to $65,000. This range is specific to the job and salary offers consider a wide range of factors that are considered in making compensation decisions, including, but not limited to: education, experience, licensure, certifications, geographic location, and peer compensation. The range has been created in good faith based on information known to Aflac at the time of the posting.

At Aflac, it is not typical for an individual to be hired at or near the top of the range for the role to allow for future and continued salary growth, and compensation decisions are dependent on the circumstances of each case. This salary range does not include any potential incentive pay or benefits, however, such information will be provided separately when appropriate.

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, and an opportunity to purchase company stock.  On an annual basis, you’ll also be offered 11 paid holidays, up to 20 days PTO to be used for any reason, and, if eligible, state-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked) and other leaves of absence, if eligible, when needed to support your physical, financial, and emotional well-being. Aflac complies with all applicable leave laws, including, but not limited to, sick and safe leave, and adoption and parental leave, in all states and localities.

Aflac

Over 50 Million people worldwide have chosen Aflac because of our commitment to providing customers with the confidence that comes from knowing they have assistance in being prepared for whatever life may bring. With Aflac, whether you're a large business or a small one, you can provide your employees with the kind of benefits they’d expect from a bigger company, helping your business stand out from the crowd. Hundreds of thousands of businesses across the United States already make Aflac available to their employees—at no direct cost to their company. Choose from a wide range of products that can help your employees with health events—from accidents, to disability, to cancer, to life insurance. Your employees enjoy benefits from Aflac, all employee-paid. Please check out Aflac.com for more information.
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