[Remote] Return To Work Specialist (PLADS Leave & STD)
Note: The job is a remote job and is open to candidates in USA. Aflac 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.
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
Skills
- 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 Overview