
Appeals Specialist
Reviews, investigates, and evaluates appeals from all lines of business including STD, LTD, Life, PW, ADD, TPA, and Voluntary Products for Fully Insured and Administrative Services Only customers. Completes independent, full, and fair appeal decisions based on Plan/Policy language in a timely manner. Conducts pertinent research to evaluate and respond to appeals. Abides by all insurance laws and regulations. Provides timely and detailed appeal determination to the claimant and employer.
10 or more years of combined experience handling appeals from STD, LTD, Life, PW, ADD, TPA
Proficient in ERISA regulations including 2018 regulatory changes/requirements
Extensive knowledge of all aspects of PLADS products and procedures, policy data, benefit plans
MS Excel
MS Word
MS PowerPoint
Time Management Skills
Negotiating and presentation skills
Verbal communication
written communication
Adaptability
Detail Oriented and Organized
Multi-tasking
According to JobzMall, the average salary range for a Appeals Specialist in 1 Aflac Pkwy, Columbus, GA 31907, USA is between $47,846 and $73,687. The salary range depends on factors such as qualifications, experience, the size of the organization, and location.
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