PLADS Leave Case Manager (Must Reside in NE)

Aflac, Incorporated•Columbus, GA
•$40,000 - $58,000•Remote

About The Position

Aflac is hiring a remote PLADS Leave Case Manager who must reside in Nebraska. The role works from home within the continental United States, although occasional office attendance may be requested based on business needs, with advance notice. The Case Manager provides empathetic customer service to associates and employers, guides associates through leave-of-absence requests, administers FMLA policies, reviews documentation, and makes recommendations on FMLA approvals or denials in accordance with federal regulations. The position also maintains records and tracking data, coordinates claim-system correspondence, supports management and team members with leave-related guidance, and helps ensure compliance with applicable standards and state and federal regulations. The role requires a high school diploma or equivalent and 1–2 years of related experience, or an equivalent combination of education and experience. An associate’s degree and demonstrated proficiency in absence-management products and applicable federal and state regulations are preferred. The salary range is $40,000–$58,000.

Requirements

  • High school diploma or equivalent.
  • 1–2 years of related experience, or an equivalent combination of education and experience.
  • Current knowledge of the absence-management industry.
  • Ability to work independently in a remote environment while engaging effectively with the team.
  • Excellent customer service skills and ability to manage difficult and stressful situations.
  • Strong written and verbal communication, persuasion, motivation, and facilitation skills for building 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 and ADA regulations.
  • Strong financial acumen, organizational skills, and interpersonal skills.
  • Ability to work in a team environment and meet or exceed performance competencies.

Nice To Haves

  • Knowledge of medical disability management.
  • Associate’s degree.
  • Demonstrated proficiency in product-specific areas of absence management and in federal and state regulations governing these products and services.

Responsibilities

  • Provide genuine, empathetic customer service throughout interactions and take appropriate actions to earn claimant and employer trust and confidence.
  • Anticipate customer needs and take appropriate action.
  • Assist associates with leave-of-absence requests and guide them through the process.
  • Process leave-of-absence paperwork according to established procedures and laws.
  • Provide timely and accurate responses to associates and all levels of management concerning day-to-day issues and activities.
  • Administer the FMLA policy and review FMLA documentation for accuracy and completeness.
  • Make recommendations to approve or deny FMLA requests based on federal regulations.
  • Coordinate correspondence, forms, and other documents through the claim system.
  • Generate required reports; 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 data tracking and analysis.
  • Participate in developing goals, objectives, and systems.
  • Maintain compliance with standards and federal and state regulations.
  • Serve as an internal reference for the team on certification requirements and processing.
  • Contact providers to clarify information.
  • Support management with special projects as necessary.

Benefits

  • Medical, dental, and vision coverage.
  • Prescription drug coverage.
  • Health care and dependent care flexible spending.
  • 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 for any reason.
  • State-mandated sick leave, if eligible.
  • Other leaves of absence, if eligible, including applicable adoption and parental leave.
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