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
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