Mgr, Review Services (Clinical)
Aflac
Columbus, GA
Salary Range: $100,000 - $120,000 Job Posting End Date: October 15th 2025 We’ve Got You Under Our Wing We are the duck. We develop and empower our people, cultivate relationships, give back to our community, and celebrate every success along the way. We do it all… The Aflac Way . Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best-known brands. Aflac has been recognized as Fortune’s 50 Best Workplaces for Diversity and as one of World’s Most Ethical Companies by Ethisphere.com. Our business is about being there for people in need. So, ask yourself, are you the duck? If so, there’s a home, and a flourishing career for you at Aflac. Worker Designation – This role is designated as a remote role. You will be expected to work from your home, within the continental US. Although this role is designated as 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 at Aflac?
- Acting as a Champion for Change
- Acting with Integrity
- Communicating Effectively
- Demonstrating Initiative
- Developing Talent
- Managing Performance
- Pursuing Self-Development
- Serving Customers
- Supporting Change
- Supporting Organizational Goals
- Working with Diverse Populations
- In-depth clinical, vocational, behavioral health 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.
- Bachelor's Degree In nursing, healthcare or a related field.
- Certification - 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 and/or Behavioral Health.
- 4 years of supervisory, managerial, and/or leadership experience.
- 4 years of disability and absence relevant industry experience.
- Master's Degree In business, rehab counseling, behavioral health or related field, e.g., MSW, MA or MS in counseling.
- CDMS, CCM, CCRN, CCM, ADA certifications
- Acts as a first level specialist resource for customer complaints and/or escalates issues to upper leadership; oversees the day-to-day operations within the team including 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 issue resolution and troubleshooting within the team; regularly monitors and evaluates activities to identify potential risks and issues of non- compliance; participates or may lead risk assessment for area of responsibility and escalates potential issues to higher management.
- 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 managements 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.
Posted 2025-10-09
Recommended Jobs
Account Executive
Sched LLC
Georgia
Sched, a fully remote and globally distributed B2B SaaS company, is seeking a motivated and results-oriented Account Executive to join our dynamic sales team! We're passionate about empowering event …
View Details
Posted 2025-09-30
Line Cook
Atlanta, GA
For this position, pay will be variable by location - See additional job details and benefits below Our Line Cooks make all the magic possible. They put their heart into coordinating qua…
View Details
Posted 2025-08-23
Service Porter
J.C. Lewis
Savannah, GA
Job Description Job Description Job Title: Service Porter Location: Savannah Company: JC Lewis Motor Company Position Overview: JC Lewis Motor Company is looking for a dependable a…
View Details
Posted 2025-09-22
Staff IT Auditor II
Intercontinental Exchange Holdings, Inc.
Atlanta, GA
Overview: Job Purpose Intercontinental Exchange (ICE) is looking for an IT Internal Auditor to be part of our corporate Internal Audit team. This position will be responsible for developing and pe…
View Details
Posted 2025-08-19
CHAMP Roadside Motorist Patroller - District 6
AECOM
White County, GA
Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our…
View Details
Posted 2025-09-12
Sr Sales Specialist- Amazon Connect
Amazon Web Services, Inc.
Atlanta, GA
DESCRIPTION This position is part of the AWS Specialist and Partner Organization (ASP). Specialists own the end-to-end go-to-market strategy for their respective technology domains, providing the …
View Details
Posted 2025-09-23
Client Support Agent (Independent Contractor)
Kaizen Advance
Atlanta, GA
BACKGROUND: Kaizen Advance is a growing consulting company based in Atlanta, GA, specializing in connecting quality workers with work-from-home (remote) opportunities. We are looking for Client Su…
View Details
Posted 2025-10-09
Tandem Talk | Past Issues
CPC Logistics
Duluth, GA
Home Daily | Starting Salary $60,000 + We Offer: First Shift-Early AM Start Time Sunday-Thursday or Tuesday-Saturday Pallet Jack/Hand Truck Unload Must Be Open To Staying Out 2-4 Nights…
View Details
Posted 2025-09-22
DJ - Sports & Social Atlanta
Live! Hospitality & Entertainment
Smyrna, GA
Sports & Social is a one-of-a-kind sports bar, gaming parlor, and social lounge in Atlanta. This two-level space features a 30-foot diagonal high-definition LED TV showcasing the top sports watching e…
View Details
Posted 2025-09-24
Assistant Manager
Domino's Franchise
Bainbridge, GA
Morale, communication, drive to be the best you can be, Job Description What would you do? – The Specifics Convey a commitment to providing outstanding customer service and ensure …
View Details
Posted 2025-09-29