Sr Life Case Manager @ Aflac | Jobright.ai
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Aflac · 6 hours ago

Sr Life Case Manager

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

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)

Funding

Current Stage
Public Company
Total Funding
unknown
1974-06-14IPO· undefined

Leadership Team

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Daniel Paul Amos
Chief executive officer
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Tomohito Hasumoto
Senior Vice President, Chief Technology Officer
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Company data provided by crunchbase
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