Aflac is a Fortune 500 company known for its voluntary insurance products. They are seeking a Leave Case Manager to assist claimants with paid leave of absence requests and manage the leave process while ensuring compliance with established procedures and regulations.
Responsibilities
- Assists claimants with paid leave of absence requests and guides them through the leave process
- Processes all leave of absence paperwork according to established procedures and laws
- Provides timely and accurate responses to associates and all levels of management concerning day-to-day issues and activities
- 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
- Makes recommendations to approve or deny requests for Statutory Paid Leave based on state regulations
- Coordinates correspondence, forms, and other documents via the claim system; documents the claims system in an accurate and comprehensive manner
- Generates reports as required; maintains files, inputs and analyzes data
- Assists management with leave of absence situations and provides guidance within the policy and established legal guidelines
- Keeps complete records of all LOA requests and maintains tracking and analysis of data
- Participates in developing goals, objectives, and systems
- Maintains compliance with standards and federal/state regulations
- Serves as an internal reference to the team for certification requirements and processing
- Contacts Providers for clarification
- Supports management with special projects, as necessary
- Performs other duties as assigned
Skills
- Current knowledge of the absence management industry
- Excellent customer service skills and ability to manage difficult and stressful situations
- Strong communication skills – written, verbal, persuasion, motivation, facilitation of strong working relationships
- Ability to manage business expectations and resolve concerns, by communicating status and issues
- Ability to effectively prioritize and escalate customer issues
- Ability to interpret and analyze multiple facts
- Knowledge of state and federal FMLA regulations; Paid Family and Medical Leave experience a plus
- Knowledge of medical disability management preferred
- Strong organizational skills
- Excellent interpersonal skills
- Ability to work in a team environment
- Ability to meet or exceed performance competencies
- High School Diploma or Equivalent
- 1 - 2 years of professional job-related experience
- Associates Degree
- Demonstrated proficiency in product specific areas of Absence Management and federal and state regulations governing these products and services
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
- State-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked)
- Other leaves of absence, if eligible, when needed to support your physical, financial, and emotional well-being
Company Overview
Aflac is a company that offers individuals and companies supplemental disability insurance. It was founded in 1955, and is headquartered in Columbus, Georgia, USA, with a workforce of 10001+ employees. Its website is http://www.aflac.com.
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