PLADS LTD Benefit Specialist

Aflac

Location: Remote - US only

Job Type: Full time

Posted


Job Summary

Responsible for the application of policy provisions and information needs related to pre- and post-disability financial calculations on disability claims. Responsible for calculating pre-disability earnings, COLAs, deductions, offsets, overpayments, and underpayments in accordance with the provisions in the group disability policies.

Principal Duties & Responsibilities

  • Calculates pre-disability earnings, COLAs, deductions, offsets, overpayments, underpayments, and other and ongoing financial work in accordance with the provisions in the group disability policies

  • Responsible for the application of policy provisions related to pre- and post-disability financial calculations

  • Provides an ongoing review of claimant return to work earnings calculations

  • Reviews offset coding in the claims payment system for known offsets and adjusts as necessary

  • Reviews and ensures the accuracy of the benefit components in the claims payment systems

  • Reviews documentation and coding for the disability benefit taxability, including FIT, SIT, FICA

  • Demonstrates strong communication around financial aspect of claim to be available to the Case Managers for calculation explanations

  • Makes Policyholder/ Insured calls as necessary and appropriate to obtain missing financial information

  • Performs other duties as required

Education & Experience Required

  • High School Diploma
  • Two to five years of work-related experience
  • Experience and proficiency using Microsoft Office Suite software

Education & Experience Preferred

  • Bachelor's Degree Business Administration or related field

Or an equivalent combination of education and experience

Job Knowledge & Skills

  • Strong math aptitude required

  • Proficient in Microsoft office products with strong Excel skills

  • Strong teamwork skills

  • Strong analytical skills with attention to detail

  • Highly developed written and verbal communication skills

  • Strong Customer orientation – focus and desire to provide excellent customer service

  • Group Disability Experience, preferred

Competencies

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