PLADS Sr Life 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?

• Strong familiarity with claim management concepts

 

• Strong understanding of medical terminology/pathology/anatomy

 

• Articulate verbal and writing skills, decision making, meeting deadlines, working with confidential information

 

• Strong skills with Microsoft Office and other software applications

 

• Customer service skills

 

• Stress tolerance

 

• Ability to multi-task and prioritize

 

• High level of attention to detail

 

• Can work under pressure

 

• Confidence to make claim decisions

 

• Results-driven

 

• High attention to departmental/company procedures/practices

 

Education & Experience Required

• High School Diploma or equivalent
• 3 - 5 years of Life industry claims experience
• Demonstrated proficiency in product specific areas of Life or Disability 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 a related field

 

Principal Duties & Responsibilities

• Makes timely, accurate, and customer-focused Life and Accident new and ongoing claim decisions using advanced independent discretion guided by company procedures and regulatory standards; handles the most complex claims; reaches out to obtain relevant medical and police, legal , employer, financial, and other information; compares the information to the terms, limitations, and conditions of the contract 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

 

• 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

 

• 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

 

• Mentors and coaches new team members and participates in projects supporting the team's business initiatives

 

• 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 at the time of the posting.  Compensation decisions are dependent on the circumstances of