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PLADS LTD Benefit Specialist

AFLAC Farmington, CT
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Job Summary

 

Responsible for the application of policy provisions and information needs related to pre- and post-disability financial calculations on disability claims. Responsible for calculating pre-disability earnings, COLAs, deductions, offsets, overpayments, and underpayments in accordance with the provisions in the group disability policies.

 

Principal Duties & Responsibilities

 

 

  • Calculates pre-disability earnings, COLAs, deductions, offsets, overpayments, underpayments, and other and ongoing financial work in accordance with the provisions in the group disability policies

     

     

  • Responsible for the application of policy provisions related to pre- and post-disability financial calculations

     

  • Provides an ongoing review of claimant return to work earnings calculations

     

  • Reviews offset coding in the claims payment system for known offsets and adjusts as necessary

     

  • Reviews and ensures the accuracy of the benefit components in the claims payment systems

     

  • Reviews documentation and coding for the disability benefit taxability, including FIT, SIT, FICA

     

  • Demonstrates strong communication around financial aspect of claim to be available to the Case Managers for calculation explanations

     

  • Makes Policyholder/ Insured calls as necessary and appropriate to obtain missing financial information

     

  • Performs other duties as required

     

     

    Education & Experience Required

     

    • High School Diploma
    • Two to five years of work-related experience
    • Experience and proficiency using Microsoft Office Suite software

     

    Education & Experience Preferred

     

    • Bachelors Degree Business Administration or related field

     

     

    Or an equivalent combination of education and experience

     

     

    Job Knowledge & Skills

     

     

  • Strong math aptitude required

     

  • Proficient in Microsoft office products with strong Excel skills

     

  • Strong teamwork skills

     

  • Strong analytical skills with attention to detail

     

     

  • Highly developed written and verbal communication skills

     

  • Strong Customer orientation focus and desire to provide excellent customer service

     

     

  • Group Disability Experience, preferred

     

    Competencies

     

    • Acting with Integrity 
    • Communicating Effectively 
    • Pursuing Self-Development
    • Serving Customers -
    • Supporting Change -
    • Supporting Organizational Goals
    • Working with Diverse Populations -
  • Date Posted November 22, 2022
    Date Closes December 22, 2022
    Requisition 936836500
    Located In Farmington, CT
    SOC Category 00-0000.00
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