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Mgr, PLADS STD/Leave

The Company:  Aflac Columbus
The Location: 

Remote, US Orlando, FL, US, 32801

The Division:  PLADS
Job Id:  2412

Job Summary

The Manager, STD/Leave is responsible for management and administration of multiple functions, or management of general business operations within Disability Claims Department.


Principal Duties & Responsibilities

• Oversee daily operations of multiple levels of staff and multiple functions across one or more business units


• Manage day to day site operations, and accountability for financial and non - financial results (budgets and actuals)


• Provide expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting Insurance and Leave of Absence claims


• Attend/participate in select customer meetings as appropriate to discuss feedback and/or needed process enhancements.


• Initiates and maintains partnerships with others throughout the organization. Encourages cooperation by promoting common goals and building trust. Inspires, supports, and initiates cross[1]functional activities.


• Authorize the appropriate payment or refers claims to investigators for further review


• Analyzes and identifies trends and provides reports as necessary


• Lead project management and implementation initiatives


• Identifies trends and assist in developing creative solutions to improve overall efficiencies of Short Term Disability and leave of Absence processes


• Analyzes and distribute daily reports and ensure Performance Guarantees and critical claim indicators are consistently met


• Consistently cascade critical compliance and process updates to team members; provides appropriate oversight to ensure team successfully achieves targets to meet Performance Guarantees; supports employee development by conducting regularly scheduled 1x1s with direct reports; coaches and develops direct reports to advanced claim management practices


• Travel Less than 10% of the time


• Performs other duties as required


Education & Experience Required

  • Bachelor’s Degree in a related field
  • 5+ years of claims industry experience
  • 5+ years of Supervisory, Managerial, and / or leadership experience in claims adjudication or customer service
  • 2+ years of experience managing relationships with clients and / or vendors
  • 2+ years of experience managing budgets, process improvement and quality assurance



Education & Experience Preferred

  • Operation Excellence (Six Sigma) experience


Or an equivalent combination of education and experience


Job Knowledge & Skills

• Experience using specific medical and/or behavioral health criteria or protocols


• Extensive clinical experience/knowledge


• Strong customer service skills


• Strong written and oral communication skills.


• Strong organizational and time management skills


• Ability to analyze clinical records in the context of functional capacity


• Kean instincts on how to work in a team environment


• Pass Applicable certification and licensing continuing education and maintain active license and/or certification, as required.


• Seeks and/or maintains current or enhanced profession credentials.


• Proficiency within Microsoft Excel (ability to create pivot tables, basic formulas, sorting, and read data)


• Solid understanding of the regulations governing FMLA, Statutory Disability and ERISA as it relates to absence programs



  • Acting with Integrity
  • Communicating Effectively
  • Pursuing Self-Development
  • Serving Customers
  • Supporting Change
  • Supporting Organizational Goals
  • Working with Diverse Populations

Nearest Major Market: Eugene