Hybrid Claims Technical Lead

Posted 1 hour ago

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About the role

  • 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

Job title

Claims Technical Lead

Job type

Experience level

Senior

Salary

$75,000 - $95,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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