Claims Technical Lead – PLADS STD, Integrated Claims

Aflac

Claims Technical Lead at Aflac overseeing claims management and mentoring case managers. Serving as a primary contact for claims inquiries and ensuring quality outcomes.

Posted 4/23/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $75,000 - $95,000 per yearWebsite

About the role

Key responsibilities & impact

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

What you’ll need

Bachelor's Degree in business, management or a related field
4 or more years job related experience
2 years STD/LOA case management experience
Strong understanding of contracts, plans and products
Strong knowledge of best practices and effective case management skills
Excellent critical thinking and decision-making skills
Strong leadership and organizational skills
Excellent Communication skills (verbal, written & presentation)

Benefits

Comp & perks

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 and other leaves of absence

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

case managementrisk managementKPI monitoringauditingcritical thinkingdecision-makingworkload balancingcoachingtraining developmentproject management

Soft Skills

leadershiporganizational skillscommunicationmentoringteam facilitationfeedback provisionproblem-solvingcustomer escalation managementtrend analysisinterpersonal skills

Certifications

Bachelor's Degree