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STD Case Manager

AFLAC locationColumbus, GA
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55 positions
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Web Mktg Technology Specialist

AFLAC locationColumbus, GA
55 positions
info linkReport a probelm Originally Posted : March 30, 2021 | Expires : April 29, 2021

Details

Salary
Unspecified
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Job Location
Columbus, GA, United States

Description

Position Summary

The Company

Aflac

 

The Location

Remote

 

The Division

Aflac / Life Claims

 

The Opportunity

STD Case Manager

 

Job Summary

 

Makes timely, accurate, and customer-focused Short-Term Disability and/or Absence Management claim decisions. Proactively engages clinical, vocational, employer, financial, and other informational internal and external sources to gather relevant data, and compares it to the applicable contract/administrative agreement and procedural documents. Conducts an analysis of data and engage peers and management as appropriate. Communicates verbally and in writing an accurate and comprehensive decision. Maintains performance at or above departmental metrics.

Responsibilities

Principal Duties & Responsibilities

 

Makes timely, accurate, and customer-focused STD and AM new and ongoing claim decisions; 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

 

Maintains a superior level of genuine caring and empathetic customer service throughout all interactions; takes appropriate actions to earn the claimants and employers 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

 

Performs other related duties as required

Qualifications

Education & Experience

      

Preferred Bachelors Degree in healthcare, or a related field

 

Minimum Required High School Diploma

 

Minimum Required 1-2 years of STD industry claims experience

 

Minimum Required Demonstrated proficiency in product specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services

 

Or an equivalent combination of education and experience.

 

 

Job Knowledge & Skills

 

Familiarity with disability claim management concepts

 

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 applications

 

Customer service skills

 

Stress tolerance

 

Math skills

 

Ability to multi-task and prioritize

 

Have a high level of attention to detail

 

Work under pressure

 

Confidence to make claim decisions

 

Results-driven

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