Leave Case Manager (6 Openings)

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