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STD Case Manager

AFLAC locationColumbus, GA
55 positions

Web Mktg Technology Specialist

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


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Job Location
Columbus, GA, United States


Position Summary

The Company



The Location



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.


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


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



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