Aflac

Senior LTD Case Manager

Aflac

full-time

Posted on:

Location Type: Hybrid

Location: Farmington • Connecticut • United States

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Salary

💰 $65,000 - $85,000 per year

Job Level

Senior

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
  • Performs other related duties as required

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.
  • High School Diploma or equivalent.
  • 5 or more years of LTD industry claims experience.
Benefits
  • 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
  • opportunity to purchase company stock
  • 11 paid holidays
  • up to 20 days PTO to be used for any reason
  • if eligible, state-mandated sick leave
  • other leaves of absence, if eligible, when needed to support your physical, financial, and emotional well-being
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 detailnegotiation skillsmulti-taskingdeadline management
Soft Skills
customer servicecommunicationempathycollaborationprofessionalismintegritymentoringcoachingresults-drivenindependent work
Certifications
High School Diploma