Aflac · 7 hours ago
Overpayment Recovery Specialist (PLADS)
United States
Full-time
Remote
Mid Level
$55K/yr - $75K/yr
4+ years expAflac is a Fortune 500 company and an industry leader in voluntary insurance products. They are seeking an Overpayment Recovery Specialist responsible for managing recovery procedures for overpaid claims, negotiating repayment plans, and ensuring compliance with industry regulations.
FinanceFinancial ServicesHealth CareInsurance
Responsibilities
Initiate recovery procedures for overpaid amounts by communicating with claimants and/or their representatives
Independently negotiate repayment plans and settlements, ensuring they are fair and compliant with regulatory requirements, and balances claimant needs with favorable terms for the company
Monitor and manage ongoing recovery efforts to ensure timely collection of funds
Manage / oversee collections vendor to ensure optimal business outcomes
Maintain detailed records of overpayment cases, recovery actions, and claimant communications
Prepare and present reports on recovery status, outstanding overpayments, and performance metrics to management
Ensure all documentation is accurate and adheres to company policies and legal standards
Creates policies, procedures and standards around overpayment recoveries and collections
Ensure recovery actions comply with applicable disability insurance regulations and industry standards
Stay informed about changes in disability insurance laws and regulations that may impact recovery processes
Implement and follow best practices to ensure compliance and mitigate risks
Interacts professionally and objectively with claimant legal counsel and represents Aflac to mitigate risks
Address inquiries and concerns from claimants and their legal counsel regarding overpayments and recovery processes
Provide clear explanations and support to claimants throughout the recovery process
Collaborate with internal teams to resolve issues and enhance recovery strategies
Performs other duties as required
Qualification
Required
Strong attention to detail, accuracy is crucial when reviewing payment records, verifying overpayments, and ensuring correct adjustments
Ability to analyze financial data, identify discrepancies, and understand complex claim details to determine if overpayments have occurred
Strong math aptitude is required
Strong written and verbal communication skills are essential for notifying claimants, explaining overpayment situations, and negotiating repayment terms
Strong customer orientation with focus and desire to provide excellent customer service
Ability to handle complex situations, resolve disputes, and find solutions to recover overpaid funds effectively
Knowledge of Disability Insurance Policies: Understanding the terms and conditions of disability insurance policies is critical to accurately assess and process overpayments
Familiarity with industry regulations and compliance requirements ensures that recovery practices adhere to legal standards
Managing multiple cases, tracking repayments, and maintaining detailed records require excellent organizational abilities
Competence in negotiating repayment plans or settlements with claimants or providers to recover overpaid balances
Proficiency in using MS Office Suite, financial software, databases, and other tools for tracking payments and managing records
Ability to work effectively with various stakeholders, including claimants, providers, vendors and internal teams, often under sensitive circumstances
High School Diploma or equivalent
4 years of job-related experience
2 - 5 years experience with group disability insurance, collections and /or financial management
Preferred
Bachelor's Degree In accounting, finance, or business-related field
Absence & Disability Industry Experience
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, when needed to support your physical, financial, and emotional well-being
Company
Aflac
Aflac is a company that offers individuals and companies supplemental disability insurance.
10001+ employees
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
2025 (8)
2024 (2)
2023 (3)
2022 (7)
2021 (2)
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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2026-01-14
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