PLADS ADA Case Manager

Company: AFLAC
Location: Farmington
Posted on: March 21, 2023

Job Description:

Salary Range: $31,200 - $68,000 Remote/Hybrid/On-Site: Remote 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 Americas 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 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. 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 will you be doing in this role?
• 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
• High attention to departmental/company procedures/practices Education & Experience Required
  • High School Diploma
  • 2+ years of ADA, STD, LOA or relevant experience
  • Demonstrated proficiency in product specific areas of STD, LTD or ADA as well as federal and state regulations governing these products and services
  • Must have or be willing to participate in a training program to become a Certified ADA Coordinator Or an equivalent combination of education and experience Education & Experience Preferred
    • Bachelors Degree In healthcare or a related field Principal Duties & Responsibilities
    • Makes timely, accurate, and customer-focused new and ongoing claim decisions specializing in ADA requirements; 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
    • Acts as a guide and mentor for internal and external partners, answering questions and addressing concerns; works with members and clients on options for staying at work under the ADA; participates as needed in client discussions about ADA offerings
    • 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 Total Rewards This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. The range has been created in good faith based on information known to Aflac at the time of the posting. 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. The salary range for this position is $31,200 to $68,000. 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.
      

Keywords: AFLAC, New England , PLADS ADA Case Manager, IT / Software / Systems , Farmington, Northeast