Return To Work Specialist (PLADS Leave & STD)
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
- Demonstrated proficiency in product specific areas of absence management, federal and state regulations governing these products and services.
- Articulate verbal and writing skills, decision making, meeting deadlines, working with confidential information, effective teamwork.
- Moderate skills with Microsoft Office and other software applications.
- Strong customer service skills.
- Ability to multi-task and prioritize.
- High level of attention to detail, including company and departmental procedures and practices.
- Experience working under pressure.
- Bachelor's Degree In a related field
- 1 or more years of Absence Management or industry related claims experience.
- Or an equivalent combination of education and experience
Responsibilities
- Makes timely, accurate, and customer-focused absence management, new and ongoing claim decisions.
- Obtains relevant information to proactively ensure appropriate closure of applicable claims; accurately documents the claim system, prepares, updates, and utilizes claims management plans to attain the most appropriate outcome for return to work.
- Remains in full compliance with regulatory requirements, demonstrating proficiency in product and claims administration techniques; maintains operational standards to meet and exceed operational metrics.
- Responsible for reviewing claim tasks to confirm and follow-up on return-to-work for STD and LOA Case Managers.
- Monitors team email inbox for client responses to requests; creates and sends daily reporting to client to confirm outstanding claims.
- Manages independent LOA cases to assist with ongoing management; reviews claim to ensure all information is available to proceed with return-to-work processes.
- Manages ongoing company leaves for LTD Case Managers; maintains a high-level of empathetic customer service throughout all interactions with external clients; anticipates customer’s needs and takes action as appropriate.
- Performs other related duties as required
Benefits
- In addition to the base salary, we offer an array of benefits to meet your needs including 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, and an opportunity to purchase company stock.
- On an annual basis, you’ll also be offered 11 paid holidays, up to 20 days PTO to be used for any reason, and, if eligible, state-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked) and other leaves of absence, if eligible, when needed to support your physical, financial, and emotional well-being. Aflac complies with all applicable leave laws, including, but not limited to, sick and safe leave, and adoption and parental leave, in all states and localities.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
