Aflac · 19 hours ago
Return To Work Specialist (PLADS Leave & STD)
United States
Full-time
Remote
Entry Level
$60K/yr - $75K/yr
1+ years expAflac is a Fortune 500 company and an industry leader in voluntary insurance products. The Return To Work Specialist will manage absence claims and ensure compliance with regulations, while providing exceptional customer service throughout the process.
FinanceFinancial ServicesHealth CareInsurance
Responsibilities
Makes timely, accurate, and customer-focused absence management, new and ongoing claim decisions
Obtains relevant information to proactively ensure appropriate closure of applicable claims; accurately documents the claim system, prepares, updates, and utilizes claims management plans to attain the most appropriate outcome for return to work
Remains in full compliance with regulatory requirements, demonstrating proficiency in product and claims administration techniques; maintains operational standards to meet and exceed operational metrics
Responsible for reviewing claim tasks to confirm and follow-up on return-to-work for STD and LOA Case Managers
Monitors team email inbox for client responses to requests; creates and sends daily reporting to client to confirm outstanding claims
Manages independent LOA cases to assist with ongoing management; reviews claim to ensure all information is available to proceed with return-to-work processes
Manages ongoing company leaves for LTD Case Managers; maintains a high-level of empathetic customer service throughout all interactions with external clients; anticipates customer’s needs and takes action as appropriate
Performs other related duties as required
Qualification
Required
Demonstrated proficiency in product specific areas of absence management, federal and state regulations governing these products and services
Articulate verbal and writing skills, decision making, meeting deadlines, working with confidential information, effective teamwork
Moderate skills with Microsoft Office and other software applications
Strong customer service skills
Ability to multi-task and prioritize
High level of attention to detail, including company and departmental procedures and practices
Experience working under pressure
Bachelor's Degree In a related field
1 or more years of Absence Management or industry related claims experience
Or an equivalent combination of education and 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
State-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked)
Other leaves of absence, if eligible
Company
Aflac
Aflac is a company that offers individuals and companies supplemental disability insurance.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
unknown1974-06-14IPO
Leadership Team
JR Shamley
SVP National Accounts Business Development & Growth Solutions
Matthew D. Owenby
SVP, Chief Human Resources Officer and Corporate Services Executive
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