PLADS Claims Support Specialist

We develop and empower our people, cultivate relationships, give back to our community, and celebrate every success along the 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.

About the role

This is a remote role based in Windsor, CT. You will be expected to work from your home within the continental US, with occasional requests to come to the office based on business need.

What it takes 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 it takes to be successful in this role

• 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 Outlook, Excel, and Word are required.

Requirements

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

Preferred Qualifications

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

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.

Pay

The salary range for this job is $35,000 to $45,000. This range is specific to the job and salary offers consider a wide range of factors including education, experience, licensure, certifications, geographic location, and peer compensation.

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 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 (Washington employees accrue 1-hour sick leave for every 40 hours worked).
• Other leaves of absence, if eligible, when needed to support physical, financial, and emotional well-being.