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Leave Case Manager

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Aflac

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Location:
United States , Shelton

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Category:
Customer Service

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Contract Type:
Not provided

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Salary:

40000.00 - 61000.00 USD / Year
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Job Responsibility:

  • 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
  • Supports management with special projects, as necessary
  • Performs other duties as assigned

Requirements:

  • High School Diploma or Equivalent
  • 1 - 2 years of professional job-related experience
  • 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
  • Ability to work in a team environment
  • Ability to meet or exceed performance competencies

Nice to have:

  • Paid Family and Medical Leave experience
  • Knowledge of medical disability management
  • Associates Degree
  • Demonstrated proficiency in product specific areas of Absence Management and federal and state regulations governing these products and services
What we offer:
  • 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 annually
  • up to 20 days PTO
  • state-mandated sick leave (if eligible)
  • other leaves of absence (if eligible)

Additional Information:

Job Posted:
May 05, 2026

Expiration:
May 14, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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