Remote STD Case Manager: Empathetic Claims Specialist

Aflac; United States; Remote; USD 45,000 - 65,000; Full time

Job summary

Aflac is seeking a qualified individual to manage disability and related claims from a remote home office across the United States. This role emphasizes empathy, accuracy, and strong customer service to support policyholders and employers.

The successful candidate will interpret medical terminology, coordinate information from multiple sources, and make informed claim decisions while maintaining confidentiality and compliance.

Qualifications

• High School Diploma or equivalent required.
• 0-2 years of job-related claims experience.
• Bachelor's Degree in healthcare or related field preferred.

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 on risk management; gathers relevant information and renders the claim decision as quickly as possible.
• Documents the claims system accurately; prepares, updates, and utilizes a claims management plan to attain the most appropriate outcome; remains compliant with regulatory requirements and operational standards.
• Works with internal partners to support flexibility, collaboration, creating a positive work environment, maintaining professionalism and integrity, and fostering high morale.
• Performs other related duties as required.

Skills

Disability claims knowledge

Customer service

Remote work

Medical terminology

Communication skills

MS Office

Stress tolerance

Financial acumen

Multi-tasking

Attention to detail

Working under pressure

Decision making

Education

High school diploma

Bachelor's degree in healthcare

Tools

Microsoft Office

Job description

Aflac is seeking a qualified individual to manage disability and related claims from a remote home office across the United States. This role emphasizes empathy, accuracy, and strong customer service to support policyholders and employers.

The successful candidate will interpret medical terminology, coordinate information from multiple sources, and make informed claim decisions while maintaining confidentiality and compliance.