Claims Technical Lead
Aflac
full-time
Posted on:
Location Type: Hybrid
Location: Columbus • United States
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Salary
💰 $75,000 - $95,000 per year
Job Level
About the role
- 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
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
- strong understanding of contracts, plans and products
- strong knowledge of best practices and effective case management skills
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) and other leaves of absence
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
case managementrisk managementKPI monitoringclaims auditingcoachingworkload balancingcustomer escalation managementcontract understandingbest practices knowledge
Soft Skills
mentoringtrainingcommunicationfeedback provisionteam facilitationproblem-solving
Certifications
Bachelor's Degree