STD Case Manager

We are the duck. 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.

About the role

This role is designated as remote. You will be expected to work from your home within the continental US. Although remote, there may be occasions when you are requested to come to the office based on business need, with advance communication.

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

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.

Requirements

• 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 the 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 applications.
• Stress tolerance.
• Strong financial acumen.
• Ability to multi-task and prioritize in a fast-paced environment.
• High level of attention to detail.
• Work well under pressure.
• Confidence to make claim decisions.
• Results-driven.
• High attention to departmental/company procedures/practices.

Qualifications

• High School Diploma or equivalent.
• 0-2 years of job-related claims experience.
• Or an equivalent combination of education and experience.

Preferred Qualifications

• 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.

Pay

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 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.