Aflac · 20 hours ago
Mgr, Claims Operations (PLADS Integrated Claims)
United States
Full-time
Remote
Mid, Senior Level
$80K/yr - $110K/yr
6+ years expAflac is a Fortune 500 company and an industry leader in voluntary insurance products. They are seeking a Manager of Claims Operations to oversee the daily operations of the Claims business unit, manage employees, and ensure the achievement of company and departmental goals while enhancing customer satisfaction.
FinanceFinancial ServicesHealth CareInsurance
Responsibilities
Manages the daily operations of the Claims business unit; manages employees and operations of the business unit at the functional level; gathers and analyzes data and reports that pertain to the overall operation of the Claims business unit and completes reports summarizing activities and trends; assists in strategic and tactical operational plans to ensure achievement of company and departmental goals; performs independent review of problem situations; develops solutions and implements actions to resolve problems and ensure customer satisfaction; reviews processes and procedures to streamline activities to enhance service turnaround time, productivity, and quality; coordinates overall workflow of the business unit and ensures that workflow processes facilitate effective and efficient use of corporate resources and enhance customer satisfaction
Directs efforts to implement risk management and quality improvement initiatives; facilitates calibration sessions; uses methods such as work process studies, statistical analysis, and assessments of production area performance to establish adherence to quality standards/scorecards; remains abreast of industry trends and technology changes; incorporates best practices in the development of quality standards, policies, programs, and system changes for the department; ensures that claims are processed according to appropriate risk selection principles
Coordinates and monitors training efforts to ensure that necessary education tools are provided to employees; identifies and communicates training needs and schedules with training department; projects staffing requirements for the business unit; guides supervisors in coaching and counseling employees; coordinates employee development and incentive initiatives
Identifies, analyzes, and monitors business technology requirements and enhancement possibilities; recommends viable technological solutions, modifications, and applications; prepares recommendations for implementation of initiatives; takes a leadership role in managing assigned initiatives; participates in and supports companywide initiatives through Quality Circles, Focus Groups, or other project initiatives
Monitors and controls operating expenses to ensure that corporate/divisional financial goals are met; provides input into the annual business unit budget; reviews legal files and coordinates with counsel to prepare for depositions and court hearings
Performs other related duties as required
Qualification
Required
Broad knowledge of production management concepts, operating principles, and operational management methodology applicable to claims processing; a high degree of skill in applying this knowledge to the analysis and resolution of very complex or sensitive claims operational issues; ability to apply new developments and methodologies to direct the improvement in efficiencies
Broad knowledge of federal, state, and local regulatory and industry requirements, standard concepts, practices, and procedures as they relate to the insurance industry and claims processing
Knowledge of budgeting and expense control to plan, implement, and maximize expenditure of funds while maintaining and improving quality standards
Knowledge of employee relations to conduct and deal with employee issues in a proactive manner
Strong personal computer skills with experience in Windows-based software; experience using Microsoft Outlook or a similar e-mail system software
Excellent presentation, oral, written, and interpersonal communications skills to effectively interact with senior management, and internal and external business contacts
Bachelor's Degree In business or a related field
6 years of job-related work experience
4 years in a leadership/senior/supervisory capacity
Or an equivalent combination of education and experience
Preferred
Absence & Disability Industry Experience (STD/FMLA)
Industry designations such as FLMI or ALHC
Benefits
Medical, dental, and vision coverage
Prescription drug coverage
Health care flexible spending
Dependent care flexible spending
Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee)
401(k) plans
Annual bonuses
An opportunity to purchase company stock
11 paid holidays
Up to 20 days PTO to be used for any reason
State-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked)
Other leaves of absence, if eligible
Company
Aflac
Aflac is a company that offers individuals and companies supplemental disability insurance.
10001+ employees
H1B Sponsorship
Aflac has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (8)
2024 (2)
2023 (3)
2022 (7)
2021 (2)
Funding
Current Stage
Public CompanyTotal Funding
unknown1974-06-14IPO
Leadership Team
JR Shamley
SVP National Accounts Business Development & Growth Solutions
Matthew D. Owenby
SVP, Chief Human Resources Officer and Corporate Services Executive
Recent News
Beinsure - Insurance, Reinsurance, InsurTech Insights
2026-01-14
Company data provided by crunchbase