PLADS Claims Support Specialist (Appeals)

Aflac, Incorporated•Columbus, GA

1d•$35,000 - $45,000•Remote

About The Position

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

Requirements

Strong attention to detail and accuracy when handling confidential and time-sensitive information.
Ability to follow standardized procedures, written instructions, and established workflows.
Proficiency with basic office technology, including email, document management systems, and fax/scanning equipment.
Working knowledge of Microsoft Office applications (Word, Outlook; Excel preferred).
Effective written and verbal communication skills for interacting with internal teams and providers.
Ability to manage multiple tasks, prioritize workload, and meet deadlines.
Dependable, organized, and able to work both independently and as part of a team.
Computer skills including but not limited to: Outlook, Excel, and Word are required
High School Diploma or Equivalent
One or more years of job-related work experience
Or an equivalent combination of education and experience

Nice To Haves

Some administrative experience preferred
Prior administrative, clerical, or customer support experience in the insurance industry.

Responsibilities

Copies, assembles, and distributes claim files and related documentation upon request, ensuring compliance with privacy and confidentiality requirements.
Creates, sets up, and inputs new disability claims and/or leave of absence cases as requested, accurately entering data into designated systems and verifying required information.
Prepares, processes, and distributes outgoing correspondence, including mailings, emails and faxes, and performs manual updates to correspondence as needed.
Maintains, organizes and updates departmental files, records, templates, and logs to ensure information is current and accessible.
Conducts outreach to providers and members via telephone, email, and fax to obtain outstanding information and support timely claim and leave processing.
Completes daily administrative tasks for the team, including faxing, scanning, document preparation, email responses, and tracking follow-up items.
Assists with assigned special projects and routine operational support activities under direction.
Follows established workflows, service level expectations, and quality standards while meeting productivity and accuracy requirements.
Assist with other administrative duties as needed to support department operations and business needs.
Performs other related duties as required.

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 costs to employee)
401(k) plans
annual bonuses
an opportunity to purchase company stock
11 paid holidays
up to 20 days PTO
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 your physical, financial, and emotional well-being