Claims Technical Lead (PLADS LTD)
About The Position
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 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. 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
Requirements
- 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.
- Bachelor's Degree In business, management or a related field.
- 4 or more years job related experience.
- 2 years STD/LTD case management experience.
- Or an equivalent combination of education and experience
Nice To Haves
- LTD experience preferred
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.
Benefits
- medical
- dental
- 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
- state-mandated sick leave (Washington employees accrue 1-hour sick leave for every 40 hours worked)
- other leaves of absence, if eligible, when needed to support your physical, financial, and emotional well-being
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
