Claims Technical Lead – PLADS STD, Integrated Claims

Aflac

Claims Technical Lead at Aflac handling claims inquiries and mentoring case managers. Ensuring quality and efficiency in claims processes while developing team skills and performance.

Posted 5/6/2026full-time🇺🇸 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
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 leadership and organizational skills
ability to influence and champion change
excellent critical thinking and decision-making skills
excellent communication skills (verbal, written & presentation)
strong understanding of contracts, plans and products
strong knowledge of best practices and effective case management skills.

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 (if eligible)
other leaves of absence (if eligible) when needed to support your physical, financial, and emotional well-being.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

case managementrisk managementKPI monitoringauditingcoachingtraining developmentcritical thinkingdecision-makingworkload balancingproject management

Soft Skills

leadershiporganizational skillsinfluencingchampioning changecommunicationmentoringfeedback provisionteam facilitationproblem-solvingadaptability

Certifications

Bachelor's Degree