Claims Technical Lead (PLADS LTD)

Aflac, Incorporated•Columbus, GA

1d•Remote

About The Position

Aflac, a Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders. Recognized as one of Fortune’s 50 Best Workplaces for Diversity and one of the World’s Most Ethical Companies, Aflac is seeking a Claims Technical Lead. The company emphasizes developing and empowering its people, cultivating relationships, giving back to the community, and celebrating success. This role is a remote position, requiring work from home within the continental US, with occasional requests to come to the office based on business need, communicated in advance.

Requirements

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.

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 coverage
dental coverage
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, when needed to support your physical, financial, and emotional well-being
Aflac complies with all applicable leave laws, including, but not limited to, sick and safe leave, and adoption and parental leave, in all states and localities.