Supervisor, Claims (PLADS Claims Ops Support)

Aflac, Incorporated•Farmington, CT

1d•$60,000 - $90,000•Remote

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 as a Champion for Change Acting with Integrity Communicating Effectively Demonstrating Initiative Developing Talent Managing Performance Pursuing Self-Development Serving Customers Supporting Change Supporting Organizational Goals Working with Diverse Populations

Requirements

Advanced knowledge of claims systems and processing
Broad understanding of human resources laws, regulations, policies, and procedures
Knowledge of medical terminology
Strong personal computer skills and experience with Windows-based software, including Microsoft Word, Excel, and Outlook
Strong analytical, problem-solving, organizational, mathematical, and reasoning skills
Excellent presentation, oral, written, and interpersonal skills to effectively interact and negotiate with internal/external customers and senior management, and the ability to maintain professionalism in accordance with corporate standards
Bachelor's Degree In business or a related field
4 years of job-related work experience
3 years in a leadership/senior/supervisory capacity
Or an equivalent combination of education and experience

Nice To Haves

Industry designations such as FLMI or ALHC
Disability and Absence Management Product Knowledge

Responsibilities

Motivates, coaches, and develops the claims operations team; provides consistent and constructive feedback to employees; trains, develops, or identifies employees’ training and resource needs; maintains employee personnel records regarding to performance and attendance; establishes priorities; schedules daily work, and monitors the quality and quantity of work performed by the unit and the individuals within the unit; recommends promotions and terminations
Responsible for the review, determination, and payment authorization of claims; provides guidance to subordinates regarding general claim policy, as well as specific claims problems involving validity of policy, interpretation of policy contracts and terminology; reviews, evaluates, and settles questionable and large claims; may communicate directly with policyholders, state insurance department, and other internal and external areas
Assists with the development and implementation of approved plans to support the achievement of department/division goals; leads, plans, implements, and/or participates on projects and services to support and improve existing processes and services; stays abreast of industry trends, processing technology changes, and new developments, and makes appropriate recommendations for applications to management; develops appropriate measures or standards for performance and uses these to monitor, evaluate, and continuously improve the progress and results of projects and services
Ensures the timely and accurate dissemination of information, incentives, rewards, and/or recognition; ensures that appropriate documentation is developed as required by organization and/or vendor standards and methods; ensures that a current and historical library is maintained on all department/project activity, system implementation, upgrades and modifications, policies, and procedures
Supervises employees within the team to ensure that quality and production goals are met; establishes priorities and schedules daily work assignments to ensure that processing/completion of requests meets established goals; assists employees with problems and questions; identifies process/procedure enhancements and makes recommendations for improvement
Performs other 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