Leave Case Manager (Hybrid; Must Reside in CT)

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The salary range for this job is $40,000 - $58,000. 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.

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.

Principal Duties & Responsibilities

• Assists claimants with paid leave of absence requests and guides them through the leave process.
• Processes all leave of absence paperwork according to established procedures and laws.
• Provides timely and accurate responses to associates and all levels of management concerning day-to-day issues and activities.
• Makes timely, accurate, and customer-focused new and ongoing Absence Management claim decisions; reaches out to obtain relevant healthcare provider, 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.
• Makes recommendations to approve or deny requests for Statutory Paid Leave based on state regulations.
• Captures correspondence, forms, and other documents via the claim system; documents the claims system in an accurate and comprehensive manner.
• Generates reports as required; maintains files, inputs and analyzes data.
• Assists management with leave of absence situations and provides guidance within the policy and established legal guidelines.
• Keeps complete records of all LOA requests and maintains tracking and analysis of data.
• Participates in developing goals, objectives, and systems.
• Maintains compliance with standards and federal/state regulations.
• Serves as an internal reference to the team for certification requirements and processing.
• Contacts Providers for clarification.
• Supports management with special projects, as necessary.
• Performs other duties as assigned.

Education & Experience Required

• A High School Diploma or Equivalent
• 1 - 2 years of professional job-related experience
• Or an equivalent combination of education and experience

Education & Experience Preferred

• An Associates Degree
• Demonstrated proficiency in product specific areas of Absence Management and federal and state regulations governing these products and services.