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PLADS Leave Case Manager
Job Details
Salary Range: $40,000 – $61,000
Job Posting End Date: This job will be posted on an ongoing basis
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?
• Current knowledge absence management industry
• Ability to independently work in a remote environment while effectively engaging with the team.
• 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 and ADA regulations
• Knowledge of medical disability management preferred.
• Strong financial acumen
• Strong organizational skills
• Excellent interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed performance competencies.
Education & Experience Required
- High School Diploma or Equivalent
- 1 – 2 years of related experience
Or an equivalent combination of education and experience
Education & Experience Preferred
- Associate’s degree.
- Demonstrated proficiency in product specific areas of absence management and 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.
- Assists associates with leave of absence requests and guides them through the 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.
- Administers the FMLA policy; reviews FMLA documentation for accuracy and completeness.
- Makes recommendations to approve or deny requests for FMLA based on federal regulations.
- Coordinates correspondence, forms, and other documents via the claim system.
- 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.
Total Rewards
The salary range for this job is $40,000 to $61,000. This range is specific to the job and salary offers consider a wide range of factors that are considered in making compensation decisions, including, but not limited to: education, experience, licensure, certifications, geographic location, and peer compensation. The range has been created in good faith based on information known to Aflac at the time of the posting.
At Aflac, it is not typical for an individual to be hired at or near the top of the range for the role to allow for future and continued salary growth, and 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.
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.
APPLY HERE: PLADS Leave Case Manager
Build Resume for $1 Join Extra Leads Club for $1Customer Success Agent
Job Details
With over 10 million sales interactions annually, Humana understands that while great products are important, it’s the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does.
Humana’s MarketPoint organization is looking for 10 Customer Success Agents to join the Customer Success Team working remote. Humana’s Customer Success Agents are our members’ trusted partners in navigating healthcare. In this role, you’ll provide guidance and solutions to ensure a positive member experience, from explaining plan benefits to resolving issues around disenrollment or dual eligibility. You’ll work cross-functionally with care teams, sales agents, and customer service to support and retain members throughout their healthcare journey.
***This position requires you to have a current and valid Health Care Sales License in your current state of residence. You will not qualify for this position without a Health Care Sales License.
Key Role Functions
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Deliver a high level of professionalism and empathy with every inbound and outbound consumer phone interaction
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Actively listens to identify member needs and suggest available plans, resources, and/or service, which may include enrollments into other plans
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Simplify and clearly explain plan benefits, claims, and coverage communications.
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Ask thoughtful questions to uncover social determinants of health and broader member needs
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Support member retention and engagement goals by educating and guiding members through complex decisions
Use your skills to make an impact
Required Qualifications
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Active resident Health insurance license for your state of residence (based on the resident state’s Department of Insurance requirements)
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Flexibility – Ability to work a flexible schedule, including overtime, nights and weekends as needed to meet business demands (see additional details below under Work At Home Requirements)
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2+ years of experience working in a virtual environment
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2+ years professional experience in navigating multiple computer tools/systems/screens
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2+ years of Medicare customer service experience or sales experience (virtual/telephonic preferred)
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Demonstrated ability to understand and explain Medicare benefits and address the unique needs of Medicare and duel-eligible members
Preferred Qualifications
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Bachelor’s degree
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Prior call center experience
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Prior success in Medicare Product Sales or member retention roles
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Prior Sales (any industry) experience
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Experience navigating Salesforce CRM or similar customer relationship management systems
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Proven ability to collaborate cross-functionally to resolve complex member issues
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In addition to English, proficiency in additional languages; ability to read, write, and speak without limitations or assistance.
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Bilingual or multilingual skills
Additional Information
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Department Hours: Shift could fall between the business hours of 7:00 am to 11:00 pm local time. Hours are subject to change based on business needs and may include weekends during peak season
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Training Hours: Training will start day one of employment and run the first 6 weeks with a schedule of 9:30 am to 7:00 pm EST. Attendance is vital for success
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
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At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
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Satellite, cellular and microwave connection can be used only if approved by leadership
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Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
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Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
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Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:
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Health benefits effective day 1
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Paid time off, holidays, volunteer time and jury duty pay
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Recognition pay
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401(k) retirement savings plan with employer match
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Tuition assistance
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Scholarships for eligible dependents
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Parental and caregiver leave
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Employee charity matching program
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Network Resource Groups (NRGs)
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Career development opportunities
Our Hiring Process
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Travel: While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$48,900 – $66,200 per year
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-13-2026
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
APPLY HERE: Customer Success Agent