Behav Health Clinician Rev

Overview

Salary Range: $75,000 - $90,000

Job Posting End Date: February 10, 2026

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  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 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.

• Acting with Integrity
• Communicating Effectively
• Pursuing Self-Development
• Serving Customers
• Supporting Change
• Supporting Organizational Goals
• Working with Diverse Populations

• Psychiatric experience/knowledge
• Solid investigative and analytical skills
• Solid customer service skills
• Solid written and oral communication skills
• Solid organizational and time management skills
• Ability to analyze behavioral health records in the context of functional capacity
• Maintain active licensing and profession credentials as required
• Model behaviors that demonstrate commitment to corporate values
• Educate team members and business partners on area of clinical expertise
• Provide guidance and support for team members

• Master s Degree In Behavioral Health area or related field, e.g., MSW, MA or MS in counseling
• A minimum of 3 years of experience in the field of behavioral health working with behavioral health patients.
• Active clinical license e.g., LCSW, LMHC, LPC, RN etc. or equivalent clinical license.

Or an equivalent combination of education and experience

• 2 or more years of experience in disability management industry managing claims.
• CDMS or CCM designations.
• Utilization review experience and/or experience using specific behavioral health criteria or protocols.

Less than or equal to 25%

• Serves as clinical co-manager on behavioral health claims from inception of STD claims, and provides activities requiring clinical expertise including, but not limited to performing provider interviews, analyzing clinical information submitted, and negotiating return to work plans with employee, treating provider, and employer if applicable.
• Reviews and evaluates disability claims to determine level of functioning based on knowledge of behavioral health conditions, knowledge of the employer and the employee s job requirements and the plan s definition of disability.
• Investigates and resolves inconsistencies in the level of cognitive, emotional, or behavioral functioning.
• Coordinates a strategy to determine true level of functional capacity, utilizing direct contact with the treating provider and/or utilizing internal clinical resources (e.g., Peer-to-Peer Reviews, internal impairment guides, round table reviews, etc.).
• Reviews claims from a behavioral health perspective to determine if clinical evidence supports preclusion from work, or the need for accommodation and/or restrictions, based on vocational demands per the applicable definition of disability.
• Documents impairment, functional status, and assessment, to include behavioral health, contractual, and vocational information.
• Acts as behavioral health consultant to the appeals business unit.
• Acts as resource for claims and clinical staff when handling claimants noted to be threatening harm to themselves or others.
• Facilitates referrals to collateral internal and external services, e.g., EAP, disease management programs, Advocacy, etc. as applicable.
• Monitors response to care and…