Sr LTD Case Manager (PLADS)

Aflac, Incorporated•Columbus, GA

38d•$65,000 - $80,000•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 understanding of disability claims management concepts
Solid understanding of medical terminology/pathology/anatomy
Ability to verbally articulate clearly, concisely and explain complex situations
Superior writing skills
Confident with independent decision making
Ability to consistently meet deadlines
Proven ability to work with confidential information
Moderate skills with Microsoft Office and other software applications
High level of customer service skills/phone skills
Strong ability to multi-task and prioritize
Must have a high level of attention to detail
Results-driven
High attention to deliver on departmental/company procedures/practices
Ability to work Independently
Strong Negotiation skills
High School Diploma or equivalent
5 or more years of LTD industry claims experience.
Demonstrated proficiency in product specific areas of STD, LTD or Account Management, and federal and state regulations governing these products and services.
Or an equivalent combination of education and experience

Nice To Haves

Bachelor's Degree In business, healthcare, or a related field
4 or more years of experience in disability management industry managing claims

Responsibilities

Makes timely, accurate, and customer-focused Long-Term Disability new and ongoing claim decisions on moderately complex to highly complex claims using advanced independent discretion guided by company procedures and regulatory standards; handles the most complex claims from a clinical and financial perspective; reaches out to obtain relevant clinical, vocational, employer, financial, and other information; compares the information to the terms, limitations, and conditions of the contract/administrative services agreement 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 claim 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 claim 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

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