Aflac · 4 hours ago
PLADS Claims Support Specialist (Appeals)
United States
Full-time
Remote
Entry Level
$35K/yr - $45K/yr
1+ years expAflac is a Fortune 500 company and an industry leader in voluntary insurance products. The PLADS Claims Support Specialist (Appeals) role involves managing claims processing and providing administrative support to ensure compliance and timely processing.
FinanceFinancial ServicesHealth CareInsurance
Responsibilities
Copies, assembles, and distributes claim files and related documentation upon request, ensuring compliance with privacy and confidentiality requirements
Creates, sets up, and inputs new disability claims and/or leave of absence cases as requested, accurately entering data into designated systems and verifying required information
Prepares, processes, and distributes outgoing correspondence, including mailings, emails and faxes, and performs manual updates to correspondence as needed
Maintains, organizes and updates departmental files, records, templates, and logs to ensure information is current and accessible
Conducts outreach to providers and members via telephone, email, and fax to obtain outstanding information and support timely claim and leave processing
Completes daily administrative tasks for the team, including faxing, scanning, document preparation, email responses, and tracking follow-up items
Assists with assigned special projects and routine operational support activities under direction
Follows established workflows, service level expectations, and quality standards while meeting productivity and accuracy requirements
Assist with other administrative duties as needed to support department operations and business needs
Performs other related duties as required
Qualification
Required
Strong attention to detail and accuracy when handling confidential and time-sensitive information
Ability to follow standardized procedures, written instructions, and established workflows
Proficiency with basic office technology, including email, document management systems, and fax/scanning equipment
Working knowledge of Microsoft Office applications (Word, Outlook; Excel preferred)
Effective written and verbal communication skills for interacting with internal teams and providers
Ability to manage multiple tasks, prioritize workload, and meet deadlines
Dependable, organized, and able to work both independently and as part of a team
Computer skills including but not limited to: Outlook, Excel, and Word are required
High School Diploma or Equivalent
One or more years of job-related work experience
Preferred
Some administrative experience preferred
Prior administrative, clerical, or customer support experience in the insurance industry
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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