Aflac · 11 hours ago
STD Case Manager
United States
Full-time
Remote
New Grad, Entry Level
$45K/yr - $65K/yr
0+ years expAflac is a Fortune 500 company and an industry leader in voluntary insurance products. They are seeking an STD Case Manager to provide empathetic customer service, manage claims effectively, and ensure compliance with regulatory requirements.
FinanceFinancial ServicesHealth CareInsurance
Responsibilities
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
Makes timely, accurate, and customer-focused STD and AM new and ongoing claim decisions while reviewing the claim holistically with a strong focus in risk management; 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 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
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
Performs other related duties as required
Qualification
Required
Familiarity with disability claim management concepts
Superior customer service skills with a strong commitment to empathy
Ability to work independently in a remote environment while remaining engaged with team
Good understanding of medical terminology/pathology/anatomy
Articulate verbal and writing skills, decision making, meeting deadlines, working with confidential information
Moderate skills with Microsoft Office and other software application
Stress tolerance
Strong financial acumen
Ability to multi-task and prioritize in a fast-paced environment
Have a high level of attention to detail
Work well under pressure
Confidence to make claim decisions
Results-driven
High attention to departmental/company procedures/practices
High School Diploma or equivalent
0-2 years of job-related claims experience
Or an equivalent combination of education and experience
Preferred
Bachelor's Degree In healthcare or a related field
Demonstrated proficiency in product specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services
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 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, 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.
Company
Aflac
Aflac is a company that offers individuals and companies supplemental disability insurance.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
unknown1974-06-14IPO
Leadership Team
JR Shamley
SVP National Accounts Business Development & Growth Solutions
Matthew D. Owenby
SVP, Chief Human Resources Officer and Corporate Services Executive
Recent News
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