Claims Technical Lead

Aflac

Claims Technical Lead at Aflac overseeing claims management and mentoring staff in case handling. Championing change and ensuring successful claim outcomes through effective leadership.

Posted 6/24/2026full-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/LTD case management experience
excellent critical thinking and decision-making skills
strong leadership and organizational skills
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 (Washington employees accrue 1-hour sick leave for every 40 hours worked) 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 monitoringclaims auditingcritical thinkingdecision-makingorganizational skillsbest practicescustomer escalation managementworkload balancing

Soft Skills

leadershipmentoringcoachingcommunicationteam facilitationfeedback provisiontraining developmentproblem-solvingadaptabilityinterpersonal skills