Claims Technical Lead managing and mentoring case managers for Aflac's claims department. Overseeing claims quality and providing training and support for new and current employees.
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
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
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
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