• Superior customer service skills with a strong commitment to empathy.

• Ability to work independently in a remote environment while remaining engaged with team.

• Good understanding of medical terminology/pathology/anatomy

• Articulate verbal and writing skills, decision making, meeting deadlines, working with confidential information

• Moderate skills with Microsoft Office and other software application

• Stress tolerance

• Strong financial acumen

• Ability to multi-task and prioritize in a fast-paced environment

• Have a high level of attention to detail

• Work well under pressure

• Confidence to make claim decisions

• Results-driven

• High attention to departmental/company procedures/practices

Education & Experience Required

• High School Diploma or equivalent
• 0-2 years of job-related claims experience

Or an equivalent combination of education and experience

Education & Experience Preferred

• Bachelor's Degree In healthcare or a related field
• Demonstrated proficiency in product specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services

Principal Duties & 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.

• Makes timely, accurate, and customer-focused STD and AM new and ongoing claim decisions while reviewing the claim holistically with a strong focus in risk management; reaches out to obtain relevant clinical, vocational, 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

• Documents the claims system in an accurate and comprehensive manner; prepares, updates, and utilizes a claims management plan to attain the most appropriate outcome; remains in full compliance with regulatory requirements; demonstrates an above average level of proficiency in product and claims administration techniques; remains fully compliant with operational standards; meets or exceeds claims team operational metrics

• Works with internal partners to support flexibility, collaboration, creating a positive work environment, consistently maintaining professionalism and integrity, actively taking steps to foster high morale, and demonstrating a dedication to excellence

• Performs other related duties as required

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 $40,000 to $95,000.

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.