Claims Technical Lead

🔥 8 minutes ago

🇺🇸 United States – Remote

💵 $75k - $95k / year

⏰ Full Time

🟠 Senior

🧑‍💻 Full-stack Engineer

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Aflac

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1955

💸 Finance

⚕️ Healthcare Insurance

Finance • Healthcare Insurance • Insurance

Aflac is a Fortune 500 company that provides supplemental insurance plans to help cover medical expenses and income loss due to unexpected health issues. Known for its iconic advertisements featuring the Aflac Duck, the company emphasizes employee welfare and offers various career opportunities, including in finance, customer experience, sales, and technology. Aflac operates with a strong commitment to social responsibility and fostering a supportive organizational culture, ensuring that employees feel valued and empowered to contribute to the business' success.

📋 Description

• 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 • 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

• 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