Aflac

Leave Case Manager

Aflac

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $40,000 - $61,000 per year

Job Level

Junior

About the role

  • Assists claimants with paid leave of absence requests and guides them through the leave process.\n
  • Processes all leave of absence paperwork according to established procedures and laws.\n
  • Provides timely and accurate responses to associates and all levels of management concerning day-to-day issues and activities.\n
  • Makes timely, accurate, and customer-focused new and ongoing Absence Management claim decisions; reaches out to obtain relevant healthcare provider, 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.\n
  • Makes recommendations to approve or deny requests for Statutory Paid Leave based on state regulations.\n
  • Coordinates correspondence, forms, and other documents via the claim system; documents the claims system in an accurate and comprehensive manner.\n
  • Generates reports as required; maintains files, inputs and analyzes data.\n
  • Assists management with leave of absence situations and provides guidance within the policy and established legal guidelines.\n
  • Keeps complete records of all LOA requests and maintains tracking and analysis of data.\n
  • Participates in developing goals, objectives, and systems.\n
  • Maintains compliance with standards and federal/state regulations.\n
  • Serves as an internal reference to the team for certification requirements and processing.\n
  • Contacts Providers for clarification.\n
  • Supports management with special projects, as necessary.\n
  • Performs other duties as assigned.

Requirements

  • High School Diploma or Equivalent\n
  • 1 - 2 years of professional job-related experience\n
  • Or an equivalent combination of education and experience