Senior LTD Case Manager
Aflac
full-time
Posted on:
Location Type: Remote
Location: Connecticut • United States
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Salary
💰 $65,000 - $85,000 per year
Job Level
About the role
- Makes timely, accurate, and customer-focused Long-Term Disability new and ongoing claim decisions on moderately complex to highly complex claims using advanced independent discretion guided by company procedures and regulatory standards; handles the most complex claims from a clinical and financial perspective; 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 claim 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 claim team operational metrics
- Maintains a superior level of genuine caring and empathetic customer service throughout all interactions; takes appropriate actions to earn the claimant's and employer's 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
- Mentors and coaches new team members and participates in projects supporting the team's business initiatives
Requirements
- Strong understanding of disability claims management concepts.
- Solid understanding of medical terminology/pathology/anatomy.
- Ability to verbally articulate clearly, concisely and explain complex situations.
- Superior writing skills.
- Confident with independent decision making.
- Ability to consistently meet deadlines.
- Proven ability to work with confidential information.
- Moderate skills with Microsoft Office and other software applications.
- High level of customer service skills/phone skills.
- Strong ability to multi-task and prioritize.
- Must have a high level of attention to detail.
- Results-driven.
- High attention to deliver on departmental/company procedures/practices.
- Ability to work Independently.
- Strong negotiation skills.
Benefits
- Medical coverage
- Dental coverage
- 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
- Opportunity to purchase company stock
- 11 paid holidays
- Up to 20 days PTO
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
disability claims managementmedical terminologypathologyanatomyclaims administration techniquesdecision makingattention to detailmulti-taskingnegotiation skillsconfidential information handling
Soft Skills
customer servicecommunicationwriting skillsindependent workdeadline managementtrust buildingcollaborationmentoringprofessionalismresults-driven