Wage Vary: $80,000 – $115,000
Job Posting Finish Date: June twenty seventh 2025
We’ve Acquired You Below Our Wing
We’re the duck. We develop and empower our folks, domesticate relationships, give again to our group, and have a good time each success alongside the best way. We do all of it…The Aflac Method.
Aflac, a Fortune 500 firm, is an trade chief in voluntary insurance coverage merchandise that pay money on to policyholders and one among America’s best-known manufacturers. Aflac has been acknowledged as Fortune’s 50 Greatest Workplaces for Variety and as one among World’s Most Moral Corporations by Ethisphere.com.
Our enterprise is about being there for folks in want. So, ask your self, are you the duck? If that’s the case, there’s a house, and a flourishing profession for you at Aflac.
Employee Designation – This position is a distant position. This implies you can be anticipated to work from your private home, inside the continental US. If the position is distant, there could also be events that you’re requested to return to the workplace primarily based on enterprise want. Any requests to return to the workplace could be communicated with you upfront.
What does it take to achieve success at Aflac?
- Performing with Integrity
- Speaking Successfully
- Pursuing Self-Improvement
- Serving Clients
- Supporting Change
- Supporting Organizational Objectives
- Working with Numerous Populations
What does it take to achieve success on this position?
• Consideration to element and a robust grasp of scientific and/or vocational, ADA resolution frameworks.
• Clear {and professional} written communication abilities for suggestions documentation.
• Snug working with audit instruments, monitoring outcomes and using tech platforms.
• Sturdy organizational and time administration abilities with the power to handle a number of audits and deadlines.
• Means to work independently whereas adhering to standardized audit procedures.
Schooling & Expertise Required
- Bachelor’s Diploma Nursing, Enterprise, Healthcare or associated filed
- 3 or extra years of expertise performing evaluation/opinions in a associated area.
- Energetic scientific license RN, or skilled vocational certification (position particular, scientific or VRC).
- Energetic scientific license e.g., LCSW, LMHC, LPC, or equal scientific license.
Or an equal mixture of schooling and expertise
Schooling & Expertise Most popular
- Grasp’s Diploma Nursing, Enterprise, Healthcare or associated filed
- Certifications – CRC, CDMS, CCM, (position particular)
- 3 or extra years of expertise in incapacity administration trade.
- Utilization overview expertise and/or expertise utilizing particular medical, behavioral well being, vocational rehab, ADA standards or protocols. (position particular)
Journey
Lower than or equal to 10%
Principal Duties & Tasks
• Carry out inner audits of opinions and/or deliverables to guage adherence to standards, inner insurance policies, and documentation requirements.
• Evaluation documentation for completeness, readability, and alignment with established protocols and authorized tips.
• Use standardized audit instruments and scorecards to make sure constant evaluation of reviewer efficiency.
• Doc audit findings and supply focused, constructive suggestions to reviewers.
• Collaborate with management to trace audit outcomes and determine recurring points or tendencies in reviewer efficiency.
• Take part in calibration periods and inter-rater reliability checks to make sure audit consistency.
• Assist coaching and training efforts by flagging alternatives for extra schooling or course of enchancment.
• Help in sustaining audit documentation and data in accordance with organizational insurance policies.
• Escalate high-risk findings or patterns of concern to management for additional motion.
• Contribute to steady enchancment of audit instruments, scorecards, and inner tips by offering field-based perception.
• Take part in groups primarily based inner QA conferences, audit calibration discussions, and suggestions supply periods.
• Preserve confidentiality and compliance with HIPAA and different relevant rules when dealing with worker/claims information.
• Stays knowledgeable relating to trade tendencies and finest practices in product and repair supply.
• Leads and participates in QA initiatives to boost outcomes, buyer satisfaction, and operational efficiencies.
• Performs different duties as assigned.
Complete Rewards
The wage vary for this job is $80,000 to $115,000. This vary is particular to the job and wage presents contemplate a variety of things which can be thought-about in making compensation selections, together with, however not restricted to: schooling, expertise, licensure, certifications, geographic location, and peer compensation. The vary has been created in good religion primarily based on data identified to Aflac on the time of the posting.
At Aflac, it’s not typical for a person to be employed at or close to the high quality for the position to permit for future and continued wage progress, and compensation selections are depending on the circumstances of every case. This wage vary doesn’t embody any potential incentive pay or advantages, nonetheless, such data can be offered individually when applicable.
Along with the bottom wage, we provide an array of advantages to satisfy your wants together with medical, dental, and imaginative and prescient protection, prescription drug protection, well being care versatile spending, dependent care versatile spending, Aflac supplemental insurance policies (Accident, Most cancers, Crucial Sickness and Hospital Indemnity provided at no prices to worker), 401(ok) plans, annual bonuses, and a chance to buy firm inventory. On an annual foundation, you’ll even be provided 11 paid holidays, as much as 20 days PTO for use for any motive, and, if eligible, state-mandated sick go away (Washington staff accrue 1-hour sick go away for each 40 hours labored) and different leaves of absence, if eligible, when wanted to assist your bodily, monetary, and emotional well-being. Aflac complies with all relevant go away legal guidelines, together with, however not restricted to, sick and protected go away, and adoption and parental go away, in all states and localities.