Senior STD Case Manager

Aflac

Senior Claims Manager at Aflac making customer-focused decisions on STD and AM claims. Ensuring compliance and maintaining superior customer service throughout all interactions.

Posted 5/28/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $60,000 - $75,000 per yearWebsite

About the role

Key responsibilities & impact

Makes timely, accurate, and customer-focused STD and AM new and ongoing claim decisions 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 and renders the claim decision as quickly as possible
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
Maintains a superior level of genuine caring and empathetic customer service throughout all interactions
Works with internal partners to support flexibility, collaboration, and creating a positive work environment
Mentors and coaches new team members and participates in projects supporting the team's business initiatives

Requirements

What you’ll need

High School Diploma or equivalent
3 - 5 years of STD Industry claims management experience
Demonstrated proficiency in product specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services
Strong familiarity with disability claim management concepts
Strong understanding of medical terminology/pathology/anatomy
Articulate verbal and writing skills, decision making, meeting deadlines, working with confidential information
Strong skills with Microsoft Office and other software applications
Customer service skills
Stress tolerance
Math skills
Ability to multi-task and prioritize
High level of attention to detail
Can work under pressure
Confidence to make claim decisions
Results-driven
High attention to departmental/company procedures/practices

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims managementdisability claim managementmedical terminologypathologyanatomydecision makingmath skillsattention to detailregulatory compliancecustomer service

Soft Skills

customer-focusedempatheticcollaborationmentoringcoachingstress tolerancemulti-taskingprioritizationworking under pressureresults-driven

Certifications

High School Diploma