Hybrid Leave Case Manager

at Aflac

• Job title: Leave Case Manager
• Job type: Full Time
• Experience level: Junior
• Salary: $40,000 - $61,000 per year
• Degree requirement: High School Diploma
• Location requirements: Hybrid, Shelton, United States

About the role

• Case Manager assisting claimants through paid leave of absence requests and guiding them through the leave process. Ensuring compliance with established procedures and regulations throughout the process.

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
• 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

Requirements

• Current knowledge of the absence management industry
• Excellent customer service skills
• Strong communication skills – written, verbal, persuasion, motivation, facilitation of strong working relationships
• Ability to manage business expectations and resolve concerns
• Ability to effectively prioritize and escalate customer issues
• 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
• High School Diploma or Equivalent
• 1 - 2 years of professional job-related 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)