Salary Range: $100,000 - $125,000

Job Posting End Date: September 2, 2026

Worker Designation - This role is a remote role. This means you will be expected to work from your home, within the continental US. If the role is 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 in this role?
• In-depth clinical, vocational, behavioral health, Social Work and/or ADA experience/knowledge.
• Strong investigative and analytical skills.
• Strong customer service skills.
• Strong written and oral communication skills.
• Strong organizational and time management skills.
• Ability to analyze documentation in the context of functional capacity/abilities.
• 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.

Education & Experience Required

• Bachelor's Degree In nursing, healthcare or a related field.
• Certification in Active and Unrestricted Licensure/Certification in one or more of the following: Professional Registered Nurse, Certified Rehabilitation Counselor (CRC), ADA/HR Certification, Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor, Licensed Professional Counselor
• 3 or more years of job specific experience in Vocational Rehabilitation, Clinical, ADA, Social Work and/or Behavioral Health.
• 4 years of supervisory, managerial, or leadership experience
• 4 years of disability and absence relevant industry experience

Or an equivalent combination of education and experience

Education & Experience Preferred

• Master's Degree In business, Rehab Counseling, Behavioral Health , Social Work, or related field, e.g., MSW, MA or MS in counseling.

• CDMS, CCM, CCRN, CCM, ADA certifications

Travel

Travel is equal to or less than 10%.

Principal Duties & Responsibilities
• Acts as a first level resource for customer complaints and/or escalates issues to upper leadership; oversees the day-to-day operations of the team including the monitoring of reviewer tasking volume, urgency and timeliness; accountable for team accuracy (e.g. quality of rationales and capturing dynamic indicators, productivity and value, impact points); assists in resolution and troubleshooting within the team; regularly monitors and evaluates activities to identify potential

non-compliance risks and issues. Leads and participates in risk assessments for area of responsibility and escalates potential issues.
• Manages relationships for customers and/or area of responsibility; may function as a leader in addressing appeals unit processes and protocols; anticipates, recognizes, and responds timely to needs of customers to ensure customer satisfaction.
• Provides detailed procedural advice to internal clients to ensure that internal standards and or procedures are adhered to related to referrals and necessary co-management; develops business with existing customers by recognizing and initiating resource opportunities.
• Assist leadership with developing policies, procedures and best practices.
• Independently collates and analyzes production report data using pre-determined tools, methods and formats and makes recommendations in order to support the department's effectiveness; communicates effectively with staff, case managers, employers, employees, operations manager, and treating providers.
• Supports implementation of new accounts and account initiatives to drive outcomes; reviews assigned customer cases, prioritizes workload, and interprets established policies, applying discretion in order to resolve customer issues; provide status updates on co-management volumes to ensure caseloads are within best practice limits; resolves workflow or addresses technical problems by generating policies, procedures, and referring to IT specifications to ensure accuracy and operational consistency
• Assists in completion of team audits on a regular basis; provides feedback to staff to assist in completion of 90-day reviews of new hires, and mid-year and end-of-year performance reviews of team; provides mentoring, guidance and support for team members, including new team member training and staff development.
• Educates team members and business partners on areas of specialized expertise needed to manage disability and absence claims, and ADA cases; presents training designed to educate staff as requested.
• Collects data and prepares service reports, including commentary and analysis to facilitate decision-making; analyzes data sing tools, methods, and formats and makes recommendations to support the department's timely claim reviews.
• Fosters cross-functional interdependent relationships to achieve business results; identifies opportunities and risks associated with changes in the external environment, looking forward for the current year; implements changes to and maintains procedures and policies; ensures that appropriate documentation, implementation, and communication of established policy, procedures and operating standards is completed for area of responsibility; sets and executes operational objectives and plans; contributes to planning and budgeting
• Models' behaviors that demonstrate commitment to corporate values; completes the performance management cycle with staff, including providing coaching and feedback for improved performance; builds positive team environment; ensures all staff have and are implementing personal development plans; performs time keeping/PTO management for the team.
• Manages own personal development and encourages others to do the same, which includes promoting a healthy, balanced and positive work environment.
• Upon management's request, and depending on account requirements, will visit clients for new travel to visit clients for new account implementation and maintenance of existing accounts.
• Performs other duties as required.

Total Rewards

The salary range for this job is $100,000 - $125,000. 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.