Aflac · 7 hours ago
Claims Technical Lead (PLADS LTD)
United States
Full-time
Remote
Mid, Senior Level
$75K/yr - $95K/yr
4+ years expAflac is a Fortune 500 company recognized for its voluntary insurance products and commitment to diversity and ethics. The Claims Technical Lead will act as a key contact for claims inquiries, mentor new hires, and ensure effective case management by monitoring performance and providing coaching to case managers.
FinanceFinancial ServicesHealth CareInsurance
Responsibilities
Acts as a main point of contact for claims specific questions for the case managers
Serves as a mentor for new hires as well as supports new hiring training
Takes an active role in refresher training and development of existing staff
Ensures case managers are utilizing appropriate risk management skills to secure the appropriate claim outcome
Conducts manager reviews/audits of claims as necessary to ensure overall quality
Provides the appropriate coaching and feedback to case managers as needed
Monitors KPIs and reports to ensure service levels and commitments are met, working with case managers as needed
Monitors and adjusts workload balancing for case managers
Provides support to management in facilitating team meetings/ huddles
May periodically manage complex cases and customer escalations
Elevates any trends and/or coaching opportunities to the leadership team
Completes special projects and/or ad hoc assignments as requested by leadership
Performs other related duties as required
Qualification
Required
Bachelor's Degree In business, management or a related field
4 or more years job related experience
2 years STD/LTD case management experience
Ability to influence and champion change
Excellent critical thinking and decision-making skills
Strong leadership and organizational skills
Excellent Communication skills (verbal, written & presentation)
Strong understanding of contracts, plans and products
Strong knowledge of best practices and effective case management skills
Preferred
LTD experience preferred
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
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
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