STD Case Manager

Salary Range: $40,000 - $95,000

 

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

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. The range has been created in good faith based on information known to Aflac