Job Description

Position Summary

The Company

Aflac

The Location

Remote

The Division

Aflac / Life Claims

The Opportunity

Payment Specialist

Job Summary

Performs routine and non-routine payment processing. Calculates benefit payments based on Statutory, Insured, and Disability plan provisions. Reviews invoices to identify variances and reconcile account payments for sensitive and complex accounts. Reviews and researches pended payments and takes necessary steps to resolve issues. Manages over/underpayments while ensuring that all applicable offsets and deductions are considered.

Responsibilities

Principal Duties & Responsibilities

Under general supervision, performs routine and some non-routine tasks; follows standardized procedures or instructions to resolve most questions and problems, and refers only the most complex issues to more experienced team members; serves as a resource to others in resolving of problems and issues

Reconciles group and/or individual disability and Statutory payments; reviews disability and absence claim files for variances and matches relevant details to benefit payment calculations; coordinates with disability case managers as well as Statutory states for select groups; researches pended payments and takes necessary steps to resolve issues by contacting appropriate contacts; makes adjustments based on collected information

Analyzes and handles service requirements from various sources associated with complex accounts; calls or sends letters to request additional information or confirm action; researches customer correspondence, account invoices, and payment history

Reconciles and services account payments from sensitive and complex accounts; reviews incoming customer requests and logs required data into tracking system; records disposition of outstanding customer requests on weekly tracking reports

Communicates internally and externally with policyholders, associates, coordinators, and various departments to obtain additional information or confirm changes

Qualifications

Education & Experience

Minimum Required High School Diploma or Equivalent

Minimum Required 2-5 years of work related experience

Minimum Required Experience and proficiency using Microsoft Office Suite software

Or an equivalent combination of education and experience.

Job Knowledge & Skills

Proficient in placing and receiving phone calls from field force representatives, employers, and customers to verify the accuracy and completeness of premium processing

Familiar with both Aflac Group accounts as it relates to billing procedures, plan codes, and premiums

Excellent comprehension, writing, and grammar skills and strong research, mathematical, and reasoning abilities

Advanced knowledge of principles and processes for providing customer and personal services; this includes needs assessment, meeting quality standards for services, and evaluation of customer satisfaction

Skill in giving full attention to what other people are saying; taking time to understand the points being made; asking questions as appropriate

Skill in understanding the implications of new information for both current and future problem solving and decision-making

Skill in selecting and using training/instructional methods and procedures when learning new policies, procedures, concepts or products

Skill in managing ones own time and the time of others and actively looking for ways to help people

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We will consider for employment all qualified applicants, including those with a criminal history, in a manner consistent with the requirements of all applicable federal, state, and local laws, including the Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York City Fair Chance Act. Applicants with criminal histories are encouraged to apply.

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