Mortgage Loan Processing Manager
Equity Resources, Inc
Senior Life Case Manager
Aflac
full-time
Posted on:
Location Type: Hybrid
Location: Columbus • 🇺🇸 United States
Visit company websiteSalary
💰 $65,000 - $85,000 per year
Job Level
Senior
About the role
- Makes timely, accurate, and customer-focused life, accident, new and ongoing claim decisions using advanced independent discretion, guided by company procedures and regulatory standards; handles complex claims; obtains relevant medical, legal , employer, financial, and other information; compares the information to the terms, limitations, and conditions of the contract 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 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 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
- High School Diploma or Equivalent
- 3 - 5 years of Life industry claims experience
- Demonstrated proficiency in product specific areas of Life as well as federal and state regulations governing these products and services
- Strong familiarity with 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
- Ability to multi-task and prioritize
- High level of attention to detail
- High attention to departmental/company procedures/practices
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
- an opportunity to purchase company stock
- 11 paid holidays
- up to 20 days PTO to be used for any reason
- state-mandated sick leave and other leaves of absence if needed
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementproduct administrationmedical terminologypathologyanatomydecision makingattention to detailfederal regulationsstate regulationsmulti-tasking
Soft skills
customer serviceempathytrust buildingcollaborationprofessionalismintegritymentoringcoachingcommunicationdedication to excellence
Certifications
High School DiplomaEquivalent