Note: The job is a remote job and is open to candidates in USA. Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders. The PLADS Leave Case Manager will provide customer service regarding leave of absence requests, process paperwork, and ensure compliance with FMLA and ADA regulations.
Responsibilities
- 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
- Assists associates with leave of absence requests and guides them through the 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
- Administers the FMLA policy; reviews FMLA documentation for accuracy and completeness
- Makes recommendations to approve or deny requests for FMLA based on federal regulations
- Coordinates correspondence, forms, and other documents via the claim system
- 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
Skills
- Current knowledge absence management industry
- Ability to independently work in a remote environment while effectively engaging with the team
- 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 and ADA regulations
- Strong financial acumen
- 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 related experience
- Or an equivalent combination of education and experience
- Knowledge of medical disability management preferred
- Associate's 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
Aflac is a company that offers individuals and companies supplemental disability insurance. It was founded in 1955, and is headquartered in Columbus, Georgia, USA, with a workforce of 10001+ employees. Its website is http://www.aflac.com.
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