Claims Technical Lead - PLADS LTD at Aflac
Remote, Oregon, USA -
Full Time


Start Date

Immediate

Expiry Date

16 Oct, 25

Salary

95000.0

Posted On

17 Jul, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Sme

Industry

Financial Services

Description

The Company: Aflac Columbus
The Location:Remote, US, 31999
The Division: PLADS
Job Id: 8014
Salary Range: $75,000 - $95,000
Job Posting End Date: July 22nd 2025

EDUCATION & EXPERIENCE REQUIRED

  • Bachelor’s Degree In a related field.
  • 4 or more years job related experience.
  • 2 years STD/LTD case management experience.
    Or an equivalent combination of education and experience

EDUCATION & EXPERIENCE PREFERRED

  • SME in Disability and Absence Management Products – Specifically LTD
Responsibilities

WHAT DOES IT TAKE TO BE SUCCESSFUL IN THIS ROLE?

  • Ability to influence and champion change
  • Excellent critical thinking and decision -making skills
  • Strong leadership and organizational skills
  • Excellent Communication skills (verbal, written & presentation)
  • Strong understanding of contracts, plans and products
  • Strong knowledge of best practices and effective case management skills

PRINCIPAL DUTIES & RESPONSIBILITIES

  • 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.
Loading...