Remote Disability Claims Case Manager I

AFLAC, INCORPORATED.; Windsor (CT); Remote; USD 50,000 - 60,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Prescription drug coverage

Health care flexible spending accounts

Dependent care flexible spending

Aflac supplemental policies

Job summary

Aflac, a Fortune 500 company, is seeking a disability claims professional to manage routine and less complex long-term disability cases. You will evaluate information, render timely decisions, and maintain strict confidentiality and regulatory compliance.

This remote role supports the continental US, with training and development opportunities to grow expertise in claim management and customer service. Strong communication, organization, and Microsoft Office skills are essential.

Qualifications

• High School Diploma or Equivalent.
• 0–2 years of professional work experience.
• Or an equivalent combination of education and experience.
• Bachelor's Degree in Business, Healthcare, Human Services, Psychology, or a related field.

Responsibilities

• Manages an assigned caseload of routine and less complex long-term disability claims and renders timely claim decisions within established guidelines and authority levels.
• Evaluates clinical, vocational, employer, financial, and other claim-related information to determine benefit eligibility based on policy provisions, claim facts, and departmental procedures.
• Participates in formal training and development activities to build proficiency in disability claim management, policy interpretation, regulatory requirements, and customer service practices.
• Develops claim management skills through coaching, mentoring, and regular consultation with peers and leadership.
• Documents claim activity, analysis, and decisions accurately and comprehensively within claim systems.
• Communicates professionally and empathetically with claimants, employers, healthcare providers, and internal partners regarding claim requirements, status, and decisions.
• Maintains compliance with operational, regulatory, and quality standards while developing proficiency in claim administration practices.
• Assumes greater claim complexity and decision-making responsibility as proficiency is demonstrated.
• Does other related duties as required.

Skills

Analytical skills

Verbal and written communication

Customer service

Organizational skills

Confidentiality and compliance

Microsoft Office

Education

High School Diploma or Equivalent

0–2 years of professional work experience

Bachelor's Degree in Business, Healthcare, Human Services, Psychology, or a related field

Tools

Microsoft Office

Job description

Aflac, a Fortune 500 company, is seeking a disability claims professional to manage routine and less complex long-term disability cases. You will evaluate information, render timely decisions, and maintain strict confidentiality and regulatory compliance.

This remote role supports the continental US, with training and development opportunities to grow expertise in claim management and customer service. Strong communication, organization, and Microsoft Office skills are essential.