Sr Leave Case Mgr

Windsor
Full time
Posted
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Aflac
Insurance & superannuation
5,001-10,000 employees
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Salary Range: $31,200 - $71,000

We’ve Got You Under Our Wing

We are the duck. We develop and empower our people, cultivate relationships, give back to our community, and celebrate every success along the way. We do it all…The Aflac Way.

Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-known brands. Aflac has been recognized as Fortune’s 50 Best Workplaces for Diversity and as one of World’s Most Ethical Companies by Ethisphere.com.

Our business is about being there for people in need. So, ask yourself, are you the duck? If so, there’s a home, and a flourishing career for you at Aflac.

Work Designation – Depending on your location within the continental US, this role may be hybrid or remote.

  • If you live within 50 miles of the Aflac offices located in Windsor, CT, this role will be hybrid. This means you will be expected to work in the office for at least 60% of the work week. You will work from your home (within the continental US) for the remaining portion of the work week. Details of this schedule will be discussed with your leadership.
  • If you live more than 50 miles from the Aflac offices located in Windsor, CT, this role will be remote. This means you will be expected to work from your home, within the continental US. If the role is remote, there may be occasions that you are requested to come to the office based on business need. Any requests to come to the office would be communicated with you in advance.

What does it take to be successful at Aflac?

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

What does it take to be successful in this role?

  • 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 performance competencies

Education & Experience Required

  • Bachelor's Degree In a related field
  • 2 - 3 years of professional job-related experience supporting state paid leave

Or an equivalent combination of education and experience

Principal Duties & 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.

  • Mentors and coaches new team members and participates in projects supporting the team's business initiatives.

  • Supports management with special projects as necessary.

  • Assists in process and system assessment, improvement and implementation.

  • Performs other duties as assigned.

Total Rewards

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. The range has been created in good faith based on information known to Aflac at the time of the posting. Compensation decisions are dependent on the circumstances of each case. This salary range does not include any potential incentive pay or benefits, however, such information will be provided separately when appropriate. The salary range for this position is $31,200 to $71,000.

In addition to the base salary, we offer an array of benefits to meet your needs including 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, and an opportunity to purchase company stock. On an annual basis, you’ll also be offered 11 paid holidays, up to 20 days PTO to be used for any reason, and, if eligible, state mandated sick leave (Washington employees accrue 1 hour sick leave for every 40 hours worked) and other leaves of absence, if eligible, when needed to support your physical, financial, and emotional well-being. Aflac complies with all applicable leave laws, including, but not limited to sick and safe leave, and adoption and parental leave, in all states and localities.