STD Case Manager (Must Reside in NE)

Aflac, Incorporated•Columbus, GA

2d•$45,000 - $65,000•Remote

About The Position

Aflac is hiring a remote STD Case Manager who must reside in Nebraska. The employee works from home within the continental United States, though occasional office attendance may be requested based on business needs with advance notice. The role manages short-term disability (STD) and absence management (AM) claims, providing empathetic customer service and making timely, accurate, customer-focused claim decisions. Decisions are based on holistic claim review, risk management, relevant clinical and other information, contract or administrative-services terms, and applicable procedures and regulations. The Case Manager documents claims, maintains claim management plans, meets operational standards and metrics, and collaborates with internal partners.

Requirements

High school diploma or equivalent, or an equivalent combination of education and experience.
0–2 years of job-related claims experience, or an equivalent combination of education and experience.
Familiarity with disability claim management concepts.
Superior customer service skills and a strong commitment to empathy.
Ability to work independently in a remote environment while staying engaged with the team.
Good understanding of medical terminology, pathology, and anatomy.
Articulate verbal and written communication skills.
Ability to make decisions, meet deadlines, and handle confidential information.
Moderate proficiency with Microsoft Office and other software applications.
Stress tolerance and ability to work under pressure.
Strong financial acumen.
Ability to multitask and prioritize in a fast-paced environment.
High attention to detail and to departmental and company procedures and practices.
Confidence in making claim decisions and a results-driven approach.

Nice To Haves

Bachelor’s degree in healthcare or a related field.
Demonstrated proficiency in product-specific areas of STD, LTD, or AM, and in federal and state regulations governing these products and services.

Responsibilities

Provide genuine, empathetic customer service throughout claimant and employer interactions, taking appropriate steps to earn their trust and anticipate their needs.
Make timely, accurate, customer-focused decisions on new and ongoing STD and AM claims, reviewing each claim holistically with a focus on risk management.
Obtain relevant clinical, vocational, employer, financial, and other information; compare it with contract or administrative-services terms and applicable procedures; and render claim decisions as quickly as possible.
Accurately and comprehensively document claims in the claims system.
Prepare, update, and use claims management plans to attain appropriate outcomes.
Comply with regulatory requirements and operational standards, demonstrate proficiency in product and claims administration, and meet or exceed team operational metrics.
Work with internal partners to support flexibility and collaboration, maintain professionalism and integrity, foster a positive work environment and high morale, and demonstrate dedication to excellence.
Perform other related duties as required.

Benefits

Medical, dental, and vision coverage.
Prescription drug coverage.
Health care flexible spending account.
Dependent care flexible spending account.
Aflac supplemental Accident, Cancer, Critical Illness, and Hospital Indemnity policies offered at no cost to the employee.
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 support for adoption and parental leave.