STD Case Manager (Must Reside in NE) (Remote, US, 31999)

Communicorp Inc; Columbus (GA); Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Prescription drug coverage

Flexible spending accounts

401(k) plan with company match

Paid holidays

Paid time off

Stock purchase plan

Job summary

Aflac, a Fortune 500 company, is seeking a remote claims professional to support disability claims (STD/LTD or AM) with a strong emphasis on empathy and accuracy. You will work independently from home across the continental US, with occasional office visits as needed.

Key duties include making timely claim decisions, gathering and reviewing clinical and financial information, and maintaining thorough documentation while ensuring regulatory compliance.

Qualifications

• Familiarity with disability claim management concepts
• Superior customer service with empathy
• Ability to work independently in a remote environment
• Good understanding of medical terminology/pathology/anatomy
• Articulate verbal and written skills; able to handle confidential information
• Moderate skills with Microsoft Office and other software applications
• Stress tolerance
• Strong financial acumen
• Ability to multi-task and prioritize in a fast-paced environment
• High attention to detail
• Work well under pressure
• Confidence to make claim decisions
• Results-driven
• Adherence to procedures and processes

Responsibilities

• Maintains genuine caring and empathetic customer service throughout interactions; earns claimant and employer trust
• Makes timely, accurate STD and AM claim decisions; gathers clinical, vocational, employer, financial information and compares to contract terms
• Documents claims in system accurately; uses claims management plan to attain best outcome; stays compliant with regulations
• Collaborates with internal partners to support flexibility, collaboration, and positive work environment
• Performs other related duties as required

Skills

Disability claims knowledge

Empathy

Independent work (remote)

Medical terminology

Decision making

Attention to detail

Stress tolerance

Education

High School Diploma or equivalent

0-2 years claims experience

Tools

Microsoft Office

Job description

Salary Range: $45,000 - $65,000

Job Posting End Date: This job will be posted on an ongoing basis

We've Got You Under Our Wing

We are the duck. We develop and empower our people, cultivate relationships, give back to our community, and celebrate every success along the way. We do it all…The Aflac Way.

Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-known brands. Aflac has been recognized as Fortune’s 50 Best Workplaces for Diversity and as one of World’s Most Ethical Companies by Ethisphere.com.

Our business is about being there for people in need. So, ask yourself, are you the duck? If so, there's a home, and a flourishing career for you at Aflac.

Worker Designation – This role is designated as a remote role. You will be expected to work from your home, within the continental US. Although this role is designated as remote, there may be occasions that you are requested to come to the office based on business need. Any requests to come to the office would be communicated with you in advance.

What does it take to be successful at Aflac?

• Acting with Integrity
• Communicating Effectively
• Pursuing Self-Development
• Serving Customers
• Supporting Change
• Supporting Organizational Goals
• Working with Diverse Populations

What does it take to be successful in this role?

• Familiarity with disability claim management concepts
• Superior customer service skills with a strong commitment to empathy.
• Ability to work independently in a remote environment while remaining engaged with team.
• Good understanding of medical terminology/pathology/anatomy
• Articulate verbal and writing skills, decision making, meeting deadlines, working with confidential information
• Moderate skills with Microsoft Office and other software application
• Stress tolerance
• Strong financial acumen
• Ability to multi-task and prioritize in a fast-paced environment
• Have a high level of attention to detail
• Work well under pressure
• Confidence to make claim decisions
• Results-driven
• High attention to departmental/company procedures/practices

Education & Experience Required

• High School Diploma or equivalent
• 0-2 years of job-related claims experience

Or an equivalent combination of education and experience

Education & Experience Preferred

• Bachelor's Degree In healthcare or a related field
• Demonstrated proficiency in product specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services

Principal Duties & 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 in risk management; reaches out to obtain relevant clinical, vocational, employer, financial, and other information; compares the information to the terms, limitations, and conditions of the contract/administrative services agreement 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
• 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
• Performs other related duties as required

Total Rewards

The salary range for this job is $45,000 to $65,000. This range is specific to the job and salary offers consider a wide range of factors that are considered in making compensation decisions, including, but not limited to: education, experience, licensure, certifications, geographic location, and peer compensation. The range has been created in good faith based on information known to Aflac at the time of the posting.

At Aflac, it is not typical for an individual to be hired at or near the top of the range for the role to allow for future and continued salary growth, and compensation decisions are dependent on the circumstances of each case. This salary range does not include any potential incentive pay or benefits, however, such information will be provided separately when appropriate.

In addition to the base salary, we offer an array of benefits to meet your needs including 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, and an opportunity to purchase company stock. On an annual basis, you'll also be offered 11 paid holidays, up to 20 days PTO to be used for any reason, and, if eligible, state-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked) and 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.