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Company

Aflac · 2 days ago

Sr Life Case Manager

United States

Full-time

Remote

Mid Level

$42K/yr - $98K/yr

3+ years exp

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FinanceFinancial Services

H1B Sponsor Likely

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Responsibilities

Makes timely, accurate, and customer-focused life, accident, new and ongoing claim decisions using advanced independent discretion, guided by company procedures and regulatory standards; handles complex claims; obtains relevant medical, legal, employer, financial, and other information; compares the information to the terms, limitations, and conditions of the contract 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 claims 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 claims team operational metrics.

Maintains a 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.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Claim management conceptsMedical terminologyLife industry claims experienceMicrosoft OfficeCompliance with regulationsCoachingConfidential information handlingMentoring

Required

High School Diploma or Equivalent

3 - 5 years of Life industry claims experience

Demonstrated proficiency in product specific areas of Life or Disability as well as federal and state regulations governing these products and services

Strong familiarity with claim management concepts

Strong understanding of medical terminology/pathology/anatomy

Articulate verbal and writing skills, decision making, meeting deadlines, working with confidential information

Strong skills with Microsoft Office and other software applications

Ability to multi-task and prioritize

High level of attention to detail

High attention to departmental/company procedures/practices

Preferred

Bachelor's Degree In a related field

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

Opportunity to purchase company stock

11 paid holidays

Up to 20 days PTO to be used for any reason

State mandated sick leave (Washington employees accrue 1 hour sick leave for every 40 hours worked)

Other leaves of absence, if eligible

Company

Aflac

Glassdoor

3.7

Aflac is a company that offers individuals and companies supplemental disability insurance.

Founded in 1955

Columbus, Georgia, USA

10,001+ employees

http://www.aflac.com

H1B Sponsorship

Aflac has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (3)

2022 (5)

2021 (4)