Leave Case Manager (Hybrid; Must Reside in Connecticut)

Aflac, Incorporated•Windsor, CT

2d•$40,000 - $58,000•Hybrid

About The Position

Aflac is hiring a Leave Case Manager to help claimants with paid leave requests and guide them through the leave process. The role processes leave paperwork, makes and recommends claim decisions, gathers relevant information, and maintains accurate claim documentation and records. It also provides guidance to associates and management, supports compliance with applicable laws and procedures, and serves as a team reference for certification requirements and processing. This is a hybrid role requiring the employee to reside in Connecticut and report to Aflac’s Windsor, Connecticut office at least 60% of the work week. The remaining portion of the work week is worked from home within the continental United States, with schedule details discussed with leadership. The salary range is $40,000 to $58,000.

Requirements

High school diploma or equivalent.
1–2 years of professional job-related experience, or an equivalent combination of education and experience.
Current knowledge of the absence management industry.
Excellent customer service skills and ability to manage difficult and stressful situations.
Strong written and verbal communication, persuasion, motivation, and facilitation skills for building strong working relationships.
Ability to manage business expectations and resolve concerns by communicating status and issues.
Ability to prioritize and escalate customer issues effectively.
Ability to interpret and analyze multiple facts.
Knowledge of state and federal FMLA regulations.
Strong organizational skills.
Excellent interpersonal skills.
Ability to work in a team environment.
Ability to meet or exceed performance competencies.
Must reside in Connecticut.

Nice To Haves

Paid Family and Medical Leave experience.
Knowledge of medical disability management.
Associate degree.
Demonstrated proficiency in product-specific areas of Absence Management and in federal and state regulations governing these products and services.

Responsibilities

Assist claimants with paid leave of absence requests and guide them through the leave process.
Process leave of absence paperwork according to established procedures and laws.
Provide timely and accurate responses to associates and all levels of management about day-to-day issues and activities.
Make timely, accurate, and customer-focused new and ongoing Absence Management claim decisions; obtain relevant healthcare provider, employer, financial, and other information; compare information with contract or administrative services agreement terms and applicable documents; and render claim decisions promptly.
Recommend approval or denial of Statutory Paid Leave requests based on state regulations.
Coordinate correspondence, forms, and other documents through the claim system, and document claims accurately and comprehensively.
Generate reports as required; maintain files; and input and analyze data.
Assist management with leave of absence situations and provide guidance within policy and established legal guidelines.
Keep complete records of leave of absence requests and maintain tracking and data analysis.
Participate in developing goals, objectives, and systems.
Maintain compliance with standards and federal and state regulations.
Serve as an internal team reference for certification requirements and processing.
Contact providers for clarification.
Support management with special projects as necessary.
Perform other duties as assigned.

Benefits

Medical, dental, and vision coverage.
Prescription drug coverage.
Health care and dependent care flexible spending accounts.
Aflac supplemental Accident, Cancer, Critical Illness, and Hospital Indemnity policies offered at no cost to employees.
401(k) plans.
Annual bonuses.
Opportunity to purchase company stock.
11 paid holidays annually.
Up to 20 days of PTO annually, usable for any reason.
State-mandated sick leave, if eligible.
Other leaves of absence, if eligible, including leave to support physical, financial, and emotional well-being.
Adoption and parental leave in accordance with applicable laws.