Aflac

Claims Compliance Coordinator I

Aflac

full-time

Posted on:

Location Type: Hybrid

Location: Columbia • South Carolina • 🇺🇸 United States

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Salary

💰 $45,000 - $65,000 per year

Job Level

JuniorMid-Level

About the role

  • Assists with conducting proactive market conduct reviews to identify and address nonconformance to insurance laws and regulations
  • works with management to determine the regulatory impact to Aflac’s policies and services related to claims processing
  • assists with ongoing audits reviewing existing department processes and procedures to identify compliance or quality issues
  • works closely with Compliance and other departments to recommend changes or enhancements that streamline activities or enhance service turnaround times, productivity, and quality
  • Serves as a liaison between Compliance and Claims
  • tracks, researches, and responds to Department of Insurance complaints within established time frames
  • assists in the research and coordination of responses to regulatory inquiries
  • resolves issues, answers questions, and clarifies interpretations of laws and regulations or potential changes in business practices
  • Assesses, analyzes, and improves the effectiveness and efficiency of governance and operational control processes
  • identifies process risks and ensures compliance with state and federal laws and regulations
  • implements appropriate control, design, and risk mitigation methods
  • monitors implementation and revises for effectiveness
  • conducts continuous improvement audits to ensure that corrective actions are followed

Requirements

  • Bachelor's Degree In a related field
  • Up to 2 years of job related experience
  • Knowledge of company operations, products, and services
  • Fundamental knowledge of auditing process and quantitative and qualitative risk assessment methodologies
  • Proficiency using Microsoft Office software, including Excel, Word, and PowerPoint
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)

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
auditing processrisk assessment methodologiescompliance analysisprocess improvementgovernance controlregulatory complianceclaims processingdata analysisquality assurancenonconformance identification
Soft skills
communicationproblem-solvinganalytical thinkingcollaborationattention to detailorganizational skillsinterpersonal skillstime managementadaptabilitycritical thinking
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