Sr LTD Case Manager

Salary Range: $65,000 - $85,000

Job Posting End Date: August 22nd 2025

 

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 a remote role. This means you will be expected to work from your home, within the continental US. If the role is 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?

• Strong understanding of disability claim management concepts

 

• Solid understanding of medical terminology/pathology/anatomy

 

• Ability to verbally articulate clearly, concisely and explain complex situations

 

• Superior writing skills

 

• Confident with independent decision making

 

• Ability to consistently meet deadlines

 

• Proven ability to work with confidential information

 

• Moderate skills with Microsoft Office and other software applications

 

• High level of customer service skills/phone skills

 

• Strong ability to multi-task and prioritize

 

• Must have a high level of attention to detail

 

• Results-driven

 

• High attention to deliver on departmental/company procedures/practices

 

• Ability to work Independently

 

• Strong Negotiation skills

 

Education & Experience Required

• High School Diploma or equivalent
• 5+ years of LTD industry claims experience
• Demonstrated proficiency in product specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services

Or an equivalent combination of education and experience

 

Education & Experience Preferred

• Bachelor's Degree In business, healthcare, or a related field
• 4 or more years of experience in disability management industry managing claims

 

Principal Duties & Responsibilities

• Makes timely, accurate, and customer-focused Long-Term Disability new and ongoing claim decisions on moderately complex to highly complex claims using advanced independent discretion guided by company procedures and regulatory standards; handles the most complex claims from a clinical and financial perspective; 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 claim 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