Role Description Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. What You’ll Do - Review and validate claim data to determine appropriate payment outcomes. - Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. - Work primarily with emergency services claims, including ambulance and air ambulance cases. - Operate within a proprietary claims management system. - Collaborate with internal teams to clear a significant backlog of cases. - Note: This is not a coding-heavy role. You’ll use your coding knowledge to interpret and validate claims, not to perform coding tasks. Qualifications - CPC or CPC-A certification (required). - 2-3 years of Medical Collection/Billing experience - must have experience with denials/appeals (required). - Strong attention to detail and ability to make objective decisions. - Adaptability and eagerness to contribute to a newly built team. Benefits - Medical, dental & vision. - Critical Illness, Accident, and Hospital. - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available. - Life Insurance (Voluntary Life & AD&D for the employee and dependents). - Short and long-term disability. - Health Spending Account (HSA). - Transportation benefits. - Employee Assistance Program. - Time Off/Leave (PTO, Vacation or Sick Leave). Job Type & Location This is a Contract to Hire position based out of Nashville, TN. Pay and Benefits The pay range for this position is $25.00 - $25.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jul 9, 2026.

• Investigates and evaluates medical only (MO) claims within multiple jurisdictions • Reviews the claim notice and policy to verify coverage, deductibles, compensability, and jurisdiction compliance • Initiates prompt contact with customers to obtain information and explains the claim process • Makes timely contact with insureds, injured employee(s), and witnesses when necessary and documents calls, and activities undertaken within the claims system • Confirms return to work status with insureds • Confirms appropriate medical care, including use of appropriate cost containment techniques and resources, and takes appropriate actions • Sets timely, adequate reserves in compliance with the company reserving philosophy and methodology • Provides prompt, detailed responses to agents, insureds, and injured employee on the status of claims • Escalates claims to their people leader as appropriate • Maintains accurate and timely diaries on all files to handle claims and bring a resolution • Completes state reporting as required within jurisdictional guidelines • Secures all the necessary reports, claims forms and documents • Documents claim handling activity via claim notes, including Medicare (MSP) modules in the claims system • Drafts and sends denial letters upon manager approval • Issues timely payments within check authority limit • Submits referrals to Medical Management and Medical Review Units as appropriate • Markets OnCall Nurse (OCN), Return to Work (RTW), Select Preferred Provider (SPP) to insured’s and identifies non-use for corrective measures • Prepares risk reports for Underwriting • Assists Claims team members with the handling of claims as needed • Attends internal and external training and self-study to keep abreast of changes relating to medical treatment, and jurisdictional and statue changes impacting workers compensation benefits • Completes ongoing continuing education to remain compliant with jurisdictional licensing requirements.

Role Description 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. Depending on your location within the continental US, this role may be onsite or remote: - If you live within 50 miles of the Aflac offices located in Columbus, GA, this role will be onsite. - If you live more than 50 miles from the Aflac offices located in Columbus, GA or Columbia, SC, this role will be remote. - If the role is remote, there may be occasions that you are requested to come to the office based on business need. What does it take to be successful at Aflac? - Acting with Integrity - Communicating Effectively - Pursuing Self-Development - Serving Customers - Supporting Change - Supporting Organizational Goals - Working with Diverse Populations What does it take to be successful in this role? - Knowledge of principles and processes for providing customer and personal services, including needs assessment and evaluation of customer satisfaction. - Knowledge of administrative and clerical procedures and systems such as word processing and managing files. - Skill in giving full attention to what other people are saying and understanding the points being made. - Skill in understanding the implications of new information for problem solving and decision-making. - Skill in using mathematics to solve problems. - Skill in selecting and using training/instructional methods when learning new policies. - Skill in managing one’s own time and actively looking for ways to help people. - Fluency in Spanish with the ability to translate documents (if applicable). Qualifications - High School Diploma or Equivalent - 1 year of work experience - Experience and proficiency using Microsoft Office Suite software Requirements - Experience with medical terminology (preferred) - Or an equivalent combination of education and experience Principal Duties & Responsibilities - Under immediate supervision, reviews and processes Wellness, Accident, and Vision insurance claims. - Keys claims data while interpreting coding and medical terminology. - Provides prompt customer service to policy holders, providers, and other internal company entities regarding claims. - Documents phone calls in the system and follows up on issues if needed. - Provides back-up coverage for other teams as required. - Maintains databases and prepares and extracts information using software systems. - Performs various clerical duties as assigned. - Performs other related duties as required. Benefits - Medical, dental, and vision coverage - Prescription drug coverage - Health care flexible spending - Dependent care flexible spending - Aflac supplemental policies offered at no cost to employees - 401(k) plans - Annual bonuses - Opportunity to purchase company stock - 11 paid holidays - Up to 20 days PTO to be used for any reason - State-mandated sick leave (if eligible) - Compliance with all applicable leave laws

• Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when applicable. • Collaborating with fellow case managers, nurse case managers, vocational case managers, and consulting physicians to make appropriate, ethical, and timely claim determinations. • Reviewing complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning throughout the life of the claim. • Providing exceptional customer service and proactively recognizing customer needs and areas of opportunity.