Sr LTD Case Manager

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Job Posting End Date: This job will be posted on an ongoing basis.

We are the duck. We develop and empower our people, cultivate relationships, give back to our community, and celebrate every success along the way. We do it all…The Aflac Way.

Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-known brands. Aflac has been recognized as Fortune’s 50 Best Workplaces for Diversity and as one of World’s Most Ethical Companies by

Our business is about being there for people in need. So, ask yourself, are you the duck? If so, there’s a home, and a flourishing career for you at Aflac.

• Acting with Integrity
• Communicating Effectively
• Pursuing Self-Development
• Serving Customers
• Supporting Change
• Supporting Organizational Goals
• Working with Diverse Populations

• Strong understanding of disability claims management concepts.
• Solid understanding of medical terminology/pathology/anatomy.
• Ability to verbally articulate clearly, concisely and explain complex situations.
• 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.
• High attention to deliver on departmental/company procedures/practices.
• Ability to work Independently.

• High School Diploma or equivalent
• 5 or more years of LTD industry claims experience.
• Demonstrated proficiency in product specific areas of STD, LTD or Account Management, and federal and state regulations governing these products and services

Or an equivalent combination of education and experience

• Bachelor's Degree Business, or healthcare related field
• 4 or more years of experience in disability management industry managing claims

• 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

The salary range for this job is $65,000 to $85,000. This range is specific to the job and salary offers consider a wide range of factors that are considered in making compensation decisions, including, but not limited to: education, experience,…