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Aflac

Supplemental health and life insurance provider

STD Case Manager - Must Reside in Nebraska

Claims AdjudicationUpdated on Nov 14
Full-timeRemote in USA

About the Job

Requirements

  • Familiarity with disability claim management concepts.
  • Customer service skills and a strong commitment to empathy.
  • Ability to work independently in a remote environment while remaining engaged with the team.
  • Understanding of medical terminology, pathology, and anatomy.
  • Verbal and writing skills, decision-making ability, ability to meet deadlines, and ability to handle confidential information.
  • Moderate skills with Microsoft Office and other software applications.
  • Stress tolerance.
  • Financial acumen.
  • Ability to multitask and prioritize in a fast-paced environment.
  • Attention to detail.
  • Ability to work well under pressure.
  • Confidence in making claim decisions.
  • Results-driven approach.
  • Attention to departmental and company procedures and practices.
  • High school diploma or equivalent.
  • 0–2 years of job-related claims experience.
  • Equivalent combinations of education and experience are accepted.

Responsibilities

  • Provide caring and empathetic customer service throughout interactions, take appropriate actions to earn claimants’ and employers’ trust and confidence, anticipate customer needs, and act accordingly.
  • Make timely, accurate, customer-focused STD and AM new and ongoing claim decisions by reviewing claims holistically with a focus on risk management; obtain relevant clinical, vocational, employer, financial, and other information; compare it with contract or administrative services agreement terms, limitations, conditions, and applicable procedural documents; and render decisions as quickly as possible.
  • Document claims accurately and comprehensively in the claims system; prepare, update, and use claims management plans to attain appropriate outcomes; comply with regulatory requirements and operational standards; demonstrate proficiency in product and claims administration techniques; and meet or exceed claims team operational metrics.
  • Work with internal partners to support flexibility and collaboration, maintain professionalism and integrity, foster high morale, and demonstrate dedication to excellence.
  • Perform other related duties as required.

Desired Qualifications

  • 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.

About the Company

Aflac

Supplemental health and life insurance provider

Aflac provides supplemental health and life insurance products to individuals and families, operating mainly in two regions: Aflac Japan and Aflac U.S. Its policies are designed to cover out-of-pocket costs from health events and income loss, including cancer, critical illness, accidents, hospital stays, and life events. These benefits are paid directly to policyholders to help manage medical expenses not fully covered by primary insurance. The products are distributed through a network of independent agents, brokers, and financial advisors, enabling a high-volume, low-premium model that supports a large, stable customer base and ongoing revenue. Japan is its largest market, and the company uses this broad distribution and scale to differentiate itself from competitors. The goal is to provide straightforward financial protection against unexpected health-related costs while expanding its presence in the U.S. and Japanese markets.

Company size
10,001+
Company stage
IPO
Headquarters
Columbus, GA
Founded
1955

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