Appeals Consultant

Salary Range: $57,000 - $145,000

Job Posting End Date: September 19, 2024

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.

Worker Designation – This role is designated as a remote role. You will be expected to work from your home, within the continental US. Although this role is designated as 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?

• Proficient in ERISA regulations including 2018 regulatory changes/requirements

• Excellent organization, written and oral communication skills

• Experience using MS Office Suite -Word, Excel, and PowerPoint

• Excellent presentation and negotiating skills

• Advanced skills and comprehensive knowledge of the principles, concepts, practices, and procedures to process claims

• Extensive knowledge of all aspects of PLADS products and procedures, policy data, benefit plans, company terminology, medical terminology, and in-house coding systems

Education & Experience Required

• Bachelor's Degree In healthcare, business, or a related field
• Five years of combined experience handling appeals from STD, LTD, Life, PW, ADD, TPA, and Voluntary Products for Fully Insured and Administrative Services Only customers

Or an equivalent combination of education and experience

Travel